Complete pancreatic lipomatosis

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Diabetic patient with chronic abdominal pain

Patient Data

Age: 50 years
Gender: Female

The pancreas is visualized showing nearly complete replacement by diffuse fatty density. There is evidence of a relatively large nearly rounded inhomogeneous density noted within the retroperitoneal region within the pancreatic head site and abutting the superior mesenteric vein as well as minimally the confluence of the portal vein. It measures ~34 x 31 mm (AP x ML) with irregular margins and mild stranding of the surrounding fat as well as faint mild enhancing wall and internal turbid contents/septa with a small enhancing center.

Images are suggestive of loculated fluid most likely due to focal acute pancreatitis of the head of the pancreas.

Case Discussion

Pancreatic lipomatosis is defined as fatty replacement of the pancreatic parenchyma. It is most often associated with obesity and aging. It tends to be the commonest pathological condition involving the pancreas.

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Case information

rID: 63349
Published: 28th Sep 2018
Last edited: 29th Sep 2018
Inclusion in quiz mode: Included

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