Steriod for Autoimmune pancreatitis complicating by gastric varices: A case report

Figure 1 Diffuse autoimmune pancreatitis complicated by gastric varices. A: Computed tomography showed a diffusely enlarged pancreas with a capsule-like rim,obstructed splenic vein and slight splenomegaly; B: Magnetic resonance cholangiopancreatography showed the irregular expanding of pancreatic duct in the neck and body of pancreas, and the swelling of pancreas; C: Esophagogastroduodenoscopy showed the partial gastric varices in fundus with positive red-color sign.

Figure 2 Autoimmune pancreatitis was significantly improved after two month steroid therapy. A and B: Computed tomography and esophagogastroduodenoscopy showed the improvement of swelling pancreas,obstructed splenic vein, splenomegaly (A) and gastric varices with positive red-color sign (B).

Figure 3 Autoimmune pancreatitis was further improved after five month steroid therapy. A and B: Computed tomography and esophagogastroduodenoscopy showed the improvement of swelling pancreas, obstructed splenic vein, splenomegaly (A) and gastric varices with negative red-color sign (B).

Figure 4 Gastric varices disappeared after 1 year steroid therapy. A: Computed tomography showed the pancreas, spleen vein and spleen restore to the normal level; B: Esophagogastroduodenoscopy showed the gastric varices disappeared.