Chronic pancreatitis with multiple pseudocysts and pancreatic panniculitis

Gu, Yuqing; Qian, Zhiguo

doi:10.1097/md.0000000000010911

Cited by 4 publications

(3 citation statements)

References 10 publications

(10 reference statements)

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“…We did not find any previously reported cases of TCP with pseudocysts. Nevertheless, Yuqing Gu reported pseudocysts in the ACP [ 18 ]. The Partington-Rochelle procedure was performed by longitudinal incision along the major pancreatic duct and side-to-side pancreaticojejunostomy [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of tropical chronic pancreatitis with giant pseudocyst: Case report

Irwan

Rivai

Mitra

et al. 2021

Annals of Medicine and Surgery

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Background/objective Tropical chronic pancreatitis (TCP) is common in developing countries and is defined as a juvenile form of chronic calcific non-alcoholic pancreatitis. Pseudocysts occur in 20–40% of chronic pancreatitis. TCP with pseudocyst has not been reported yet, so we represent this rare case to broaden the horizons regarding pancreatitis. Case presentation A 16-year-old woman suffered a painful lump in the upper abdomen. She came from a low-income family and frequently consumed cassava. There was intolerance of glucose in which admission blood sugar level of the patient increased by 179 mg/dl. An abdominal CT scan showed a mass around the pancreas, 20 cm in diameter, and located in retro-gastric. There were multiple ductal calculi along the major pancreatic duct with the largest stone was 3 cm in the pancreatic head. Longitudinal pancreaticojejunostomy (Partington-Rochelle procedure) has been performed and histopathological results appropriate with a pancreatic pseudocyst. Clinical discussion TCP with a giant pseudocyst is an interesting case report that has not been reported yet. This case met the clinical characteristics of TCP, such as young women, malnourished, history of cassava consumption, abdominal pain, and intolerance of glucose. A surgical intervention provides a satisfactory result to the patient. Conclusion Tropical chronic pancreatitis is a rare case. A pseudocyst adds the uniqueness of this case that has never been reported before. Appropriate management can provide satisfactory results and improve the quality of life for patients.

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Section: Discussionmentioning

confidence: 99%

A rare case of tropical chronic pancreatitis with giant pseudocyst: Case report

Irwan

Rivai

Mitra

et al. 2021

Annals of Medicine and Surgery

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“…Topical treatments do not favor the disappearance of these lesions. 8 Further investigation of the underlying pathogenesis is imperative, as the appearance of these lesions in pancreatic neoplasms is associated with worse prognosis.…”

Section: Discussionmentioning

confidence: 99%

Pancreatic panniculitis: case report

et al. 2020

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Pancreatic panniculitis is a rare condition, affecting 2 to 3% of patients with pancreatic diseases, such as acute pancreatitis or pancreatic carcinoma. The clinical manifestations of panniculitis are painful erythematous nodules, predominantly affecting the lower limbs. From an anatomopathological point of view, the subcutaneous nodules are made of fat necrosis and vacuolated macrophages. The treatment consists in resolving the underlying diseases. We present the case of a 56-year-old female, admitted on the Emergency Department, who presented with acute abdominal pain and subcutaneous erythematous nodules. The combination of laboratory data, clinical and anatomopathological results confirmed the pancreatic panniculitis, in an underlying acute pancreatitis. The treatment focused on the resolution of the pancreatic disease.

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“…No evidence is yet available that local resection has a higher risk of recurrence or metastasis than radical resection. Therefore, clinicians should be aware of the clinical manifestation and treatment of pancreatic panniculitis[23,24]. Although SPTP has good prognosis and the postoperative 5-year survival rate is high, efforts should be made to increase further diagnostic accuracy and optimize therapeutic methods, so as to improve the quality of life of SPTP patients.…”

Section: Discussionmentioning

confidence: 99%

Pancreatic panniculitis and solid pseudopapillary tumor of the pancreas: A case report

Zhang

Tian

2018

WJCC

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Solid pseudopapillary tumor of the pancreas (SPTP), also known as solid and papillary epithelial neoplasm of the pancreas, is a rare pancreatic exocrine tumor that is difficult to diagnose before surgery. Pancreatic panniculitis is a rare type that occurs in less than 3% of all patients with pancreatic diseases. We here report a 19-year-old woman who presented with persistent left upper quadrant pain without obvious cause for 1 d. The patient also developed subcutaneous nodules involving lower abdomen bilaterally and lower limbs, and subcutaneous nodules were pathologically diagnosed as pancreatic panniculitis. Plain abdominal computed tomography revealed a soft-tissue mass in the body and tail of the pancreas, which was closely associated with the gastric wall. Contrast-enhanced ultrasound showed inhomogeneous echogenicity in the anterior pancreatic body, which had blurred parenchymal demarcation of the body and tail of the pancreas. Contrast-enhanced abdominal computed tomography revealed a mixed density mass with solid and cystic components in the body and tail of the pancreas, and the solid component was markedly enhanced. The lesion was pathologically diagnosed as SPTP after laparoscopic resection. Clinicians should be aware of the clinical manifestation, diagnosis, and treatment of pancreatic panniculitis and SPTP.

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Chronic pancreatitis with multiple pseudocysts and pancreatic panniculitis

Abstract: Clinicians should be aware of the manifestation of multiple pancreatic pseudocyst and pancreatic panniculitis, and endoscopic transpapillary drainage may be a effective way in this scenario.

Cited by 4 publications

References 10 publications

A rare case of tropical chronic pancreatitis with giant pseudocyst: Case report

A rare case of tropical chronic pancreatitis with giant pseudocyst: Case report

Pancreatic panniculitis: case report

Pancreatic panniculitis and solid pseudopapillary tumor of the pancreas: A case report

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