Lymphoplasmacytic sclerosing pancreatitis and retroperitoneal fibrosis

Nigel K F Koo Ng, Jin J. Bong, Robin C. Williamson

Research output: Contribution to journalArticle

Abstract

Although cases of lymphoplasmacytic sclerosing pancreatitis (LSP) associated with idiopathic retroperitoneal fibrosis have been reported, the association is rare. We describe a 74-year-old man who presented with obstructive jaundice and weight loss. Nineteen months earlier, he had been diagnosed with idiopathic retroperitoneal fibrosis and treated with bilateral ureteric stents. Initial investigations were suggestive of a diagnosis of LSP, however, a malignant cause could not be ruled out. He underwent an exploratory laparotomy and frozen sections confirmed the diagnosis of LSP. An internal biliary bypass was performed using a Roux loop of jejunum, and the patient made an uneventful recovery. This case illustrates the difficulty in distinguishing LSP from pancreatic carcinoma preoperatively.

Original languageEnglish
Article number719513
JournalHPB Surgery
DOIs
Publication statusPublished - 2008
Externally publishedYes

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Retroperitoneal Fibrosis
Pancreatitis
Obstructive Jaundice
Frozen Sections
Jejunum
Laparotomy
Stents
Weight Loss

ASJC Scopus subject areas

  • Hepatology
  • Surgery

Cite this

Lymphoplasmacytic sclerosing pancreatitis and retroperitoneal fibrosis. / Koo Ng, Nigel K F; Bong, Jin J.; Williamson, Robin C.

In: HPB Surgery, 2008.

Research output: Contribution to journalArticle

Koo Ng, Nigel K F ; Bong, Jin J. ; Williamson, Robin C. / Lymphoplasmacytic sclerosing pancreatitis and retroperitoneal fibrosis. In: HPB Surgery. 2008.
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