Autoimmune pancreatitis complicated by gastric varices: A report of 3 cases

Figure 1 Disappearance of gastric varices following steroid therapy. A: Computed tomography showed a diffusely enlarged pancreas with a capsule-like rim, obstructed splenic vein (arrowhead), and dilated common bile duct; B: Esophagogastoroduodenoscopy showed gastric varices in the fundus of the stomach; C: The splenic vein was reperfused (arrowhead), and autoimmune pancreatitis improved following steroid therapy; D: Gastric varices disappeared following steroid therapy.

Figure 2 The splenic vein was not reperfused, although the autoimmune pancreatitis improved. A: Esophagogastoroduodenoscopy showed gastric varices in the fundus of the stomach; B: Computed tomography showed a locally enlarged pancreatic tail with a capsule-like rim, an obstructed splenic vein, and splenomegaly; C: Endoscopic retrograde cholangiopancreatography showed irregular narrowing of the main pancreatic duct in the pancreatic tail (arrowhead); D: Autoimmune pancreatitis improved following steroid therapy, but the splenic vein was not reperfused.

Figure 3 Autoimmune pancreatitis that did not improve with steroid therapy. A: Esophagogastoroduodenoscopy showed gastric varices in the fundus of the stomach; B: Computed tomography (CT) showed a slightly enlarged pancreas with a capsule-like rim, an obstructed splenic vein (arrowhead), and splenomegaly; C: CT showed a pancreatic stone in the pancreatic tail (arrowhead); D: Magnetic resonance cholangiopancreatography showed irregular narrowing of the main pancreatic duct in the pancreatic head and body, slight dilation of the main pancreatic duct in the pancreatic tail, stricture of the hilar bile duct and lower bile duct, and dilation of the right intra-hepatic bile duct.