CC BY-NC-ND 4.0 · Endosc Int Open 2019; 07(02): E151-E154
DOI: 10.1055/a-0806-7099
Case report
Owner and Copyright © Georg Thieme Verlag KG 2019

A rare non-oncological pancreatic mass: eosinophilic pancreatitis diagnosis through EUS-FNA

Diogo Turiani Hourneaux De Moura
1   Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Endoscopic Unit, Gastrointestinal Department, São Paulo, Brazil
,
Rodrigo Silva de Paula Rocha
1   Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Endoscopic Unit, Gastrointestinal Department, São Paulo, Brazil
,
José Jukemura
1   Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Endoscopic Unit, Gastrointestinal Department, São Paulo, Brazil
,
Vitor Ottoboni Brunaldi
1   Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Endoscopic Unit, Gastrointestinal Department, São Paulo, Brazil
,
Hugo Gonçalo Guedes
1   Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Endoscopic Unit, Gastrointestinal Department, São Paulo, Brazil
,
Franz Robert Apodaca Torrez
2   Hospital São Paulo da Universidade Federal de São Paulo, Gastrointestinal Surgery Department, São Paulo, Brazil
,
Igor Braga Ribeiro
1   Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Endoscopic Unit, Gastrointestinal Department, São Paulo, Brazil
,
Andres Gelrud
3   Gastro Health and Baptist Health South Florida's Miami Cancer Institute, Florida, United States
,
Eduardo Guimarães Hourneaux De Moura
1   Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Endoscopic Unit, Gastrointestinal Department, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

submitted 14 June 2018

accepted after revision 02 September 2018

Publication Date:
18 January 2019 (online)

Abstract

Background and study aims Eosinophilic pancreatitis (EP) is a rare etiology of chronic pancreatitis, and few cases have been reported. It is characterized by eosinophilic infiltration of the pancreas and elevated IgE levels. EP is difficult to distinguish from pancreatic cancer based on clinical symptoms and auxiliary exams. We present a case of EP and debate the routine performance of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for resectable pancreatic mass.

 
  • References

  • 1 Kakodkar S, Omar H, Cabrera J. et al. Eosinophilic pancreatitis diagnosed with endoscopic ultrasound. ACG Case Rep J 2015; 2: 239-241
  • 2 Barthet M, Hastier P, Buckley MJ. et al. Eosinophilic pancreatitis mimicking pancreatic neoplasia: EUS and ERCP findings-is nonsurgical diagnosis possible?. Pancreas 1998; 17: 419-422
  • 3 Tian L, Fu P, Dong X. et al. Eosinophilic pancreatitis: Three case reports and literature review. Mol Clin Oncol 2016; 4: 559-562
  • 4 Le Connie D, Nguyen H. Eosinophilic gastroenteritis, ascites, and pancreatitis: a case report and review of the literature. South Med J 2004; 97: 905-906
  • 5 Brugge WR. Fine needle aspiration of pancreatic masses: the clinical impact. Am J Gastroenterol 2002; 97: 2701-2702
  • 6 De Moura DT, Chacon DA, Tanigawa R. et al. Pancreatic metastases from ocular malignant melanoma: the use of endoscopic ultrasound-guided fine-needle aspiration to establish a definitive cytologic diagnosis: a case report. J Med Case Rep 2016; 10: 332
  • 7 Barresi G, Inferrera C, De Luca F. Eosinophilic pancreatitis in the newborn infant of a diabetic mother. Virchows Arch A Pathol Anat Histol 1978; 380: 341-348
  • 8 Valent P, Klion AD, Horny HP. et al. Contemporary consensus proposal on criteria and classification of eosinophilic disorders and related syndromes. J Allergy Clin Immunol 2012; 130: 607-612.e9
  • 9 Gerritsen A, Molenaar IQ, Bollen TL. et al. Dutch Pancreatic Cancer Group. Preoperative characteristics of patients with presumed pancreatic cancer but ultimately benign disease: a multicenter series of 344 pancreatoduodenectomies. Ann Surg Oncol 2014; 21: 3999-4006
  • 10 Song JW, Kim MH, Seo WJ. et al. [A case of eosinophilic pancreatitis]. Korean J Gastroenterol 2003; 42: 444-450