A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods

Adam Matthew Parker; David Schaefer; Amor Royer; Hardik Sonani; Dianne Grunes; Sarah Camille Glover

doi:10.1136/bmjgast-2021-000694

A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods

BMJ Open Gastroenterol. 2021 Sep;8(1):e000694. doi: 10.1136/bmjgast-2021-000694.

Authors

Adam Matthew Parker¹, David Schaefer², Amor Royer³, Hardik Sonani⁴, Dianne Grunes⁴, Sarah Camille Glover²

Affiliations

¹ Digestive Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USA amparker23@umc.edu.
² Digestive Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USA.
³ Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA.
⁴ Department of Pathology, University of Mississippi Department of Medicine, Jackson, Mississippi, USA.

Abstract

Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis that is often overlooked and is usually characterised clinically by frequent presentations with obstructive jaundice. Serum IgG4 testing as a means to 'rule out' IgG4-related disease may not be as helpful as initially thought and may lead to a missed diagnosis if suspicion is low. We present a patient with a years long history of recurrent pancreatitis ultimately found to have AIP after undergoing evaluation with a relatively new technology, SpyGlass, which allows for direct cholangioscopy and enabled us to make the correct diagnosis.

Keywords: autoimmune biliary disease; biliary endoscopy; chronic pancreatitis; endoscopic retrograde pancreatography; pancreatic disorders.

Publication types

Case Reports

MeSH terms

Autoimmune Diseases* / diagnosis
Autoimmune Pancreatitis*
Diagnosis, Differential
Humans
Pancreatic Neoplasms* / diagnosis
Pancreatitis* / diagnosis
Technology