Journal article
A Case of Chronic Granulomatous Pancreatitis
Annals of Internal Medicine: Clinical Cases, Vol.4(6), e250049
06/01/2025
DOI: 10.7326/aimcc.2025.0049
Abstract
We present a 23-year-old woman with a 4-year history of an ambiguous, nonmalignant pancreatic head mass and recurrent nausea/vomiting, right upper quadrant abdominal pain, jaundice, oral feeding intolerance, chronic portal vein thrombosis, and pancytopenia. A multidisciplinary effort with extensive history-taking, laboratory work-up, and repeated endoscopic ultrasound with fine-needle aspiration narrowed her differential diagnosis—which included IgG4-related disease—into the seventh instance of chronic granulomatous pancreatitis secondary to histoplasmosis that has been reported in the literature to our knowledge. The patient remains symptom free on her year-long course of itraconazole, and her satisfactory outcome is an exemplification of the diagnostic and therapeutic power in specialty consultation by hospitalists.
Details
- Title: Subtitle
- A Case of Chronic Granulomatous Pancreatitis
- Creators
- Ethan Angle - University of IowaFrida Teran-Garza - University of Iowa, NeurologyAlex Paschke - 2Department of Internal Medicine, University of Iowa Health Care Medical Center, Iowa City, IowaBradley Manning - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Annals of Internal Medicine: Clinical Cases, Vol.4(6), e250049
- Publisher
- American College of Physicians
- DOI
- 10.7326/aimcc.2025.0049
- ISSN
- 2767-7672
- eISSN
- 2767-7664
- Language
- English
- Date published
- 06/01/2025
- Academic Unit
- Neurology; Internal Medicine
- Record Identifier
- 9984829027002771
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