医学
脂膜炎
胰腺癌
上腹部疼痛
脂肪坏死
胰腺疾病
腹部
病理
鉴别诊断
苍白
胰腺
癌症
胃肠病学
放射科
内科学
呕吐
作者
Saoraya Lueangarun,Panitta Sittinamsuwan,Bussakorn Mahakkanukrauh,Penvadee Pattanaprichakul,Supot Pongprasobchai
出处
期刊:Journal of the Medical Association of Thailand
[Medical Association of Thailand]
日期:2011-02-01
卷期号:94 Suppl 1: S253-7
被引量:4
摘要
Pancreatic panniculitis is a rare complication of pancreatic diseases, including pancreatic carcinoma. It is clinically manifested by erythematous subcutaneous nodules typically located on the legs which can occur before or at the onset of pancreatic disease.An 81-year-old woman presented with painful subcutaneous nodules at both shins, recurrent epigastric pain, anorexia and significant weight loss. Physical examination revealed mild pallor, palpable epigastric mass and multiple tender erythematous subcutaneous nodules discrete to both lower extremities. The skin biopsy showed lobular panniculitis with marked subcutaneous fat necrosis and ghost adipocytes compatible with pancreatic panniculitis that was an important clue for further investigations. Elevations of serum amylase and serum lipase were then noted. Computed tomography of the abdomen revealed pancreatic cancer with duodenal involvement and multiple liver metastases.Pancreatic panniculitis is associated with pancreatic cancer and represents an important clue to the diagnosis.
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