Roentgenologic and clinical features of intramedullary fat necrosis in bones in acute and chronic pancreatitis

Immelman, E. J.; Bank, Simmy; Krige, H.; Marks, I. N.

doi:10.1016/0002-9343(64)90152-4

Cited by 75 publications

(19 citation statements)

References 14 publications

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“…Bone marrow involvement in acute pancreatitis was first described by Ponfick in 1872 [4]. Since then, the presence of bone lesions associated with pancreatitis in adults has been reported, but it is rare in children.…”

Section: Discussionmentioning

confidence: 99%

Arthralgia and Osteolytic Lesions Associated with Traumatic Pancreatitis in a 10-Year-Old Girl

Obatake

Yamane

Tokunaga

et al. 2009

International Journal of Pediatrics

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A case of traumatic pancreatitis with subsequent joint pain and osteolytic lesions is presented. A 10-year-old girl was admitted to our hospital with abdominal pain caused by blunt epigastric injury. She was diagnosed with traumatic pancreatitis, and multiple pancreatic pseudocysts subsequently developed. Two weeks after admission, she complained of joint pain, and MR revealed osteolytic lesions of both knee joints. On the 58th day, endoscopic transgastric pseudocyst drainage was performed. Joint pain and osteolytic lesions resolved rapidly, in parallel with the decrease in serum amylase level and pseudocyst size.

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Section: Discussionmentioning

confidence: 99%

Arthralgia and Osteolytic Lesions Associated with Traumatic Pancreatitis in a 10-Year-Old Girl

Obatake

Yamane

Tokunaga

et al. 2009

International Journal of Pediatrics

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“…In many cases, the arthritis of this syndrome occurs primarily as polyarthritis, but monoarthritis sometimes occurs [4]. This syndrome associated with alcoholic pancreatitis tends to occur in middle-aged men with a history of alcohol abuse for many years and, in some cases, repeated relapses of acute alcoholic pancreatitis [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Intraosseous fat necrosis (IOFN) associated with pancreatic disease is a rare manifestation of this syndrome. This syndrome occurs in less than 1% of patients with pancreatic diseases, such as pancreatitis, pancreatic duct obstruction, pseudocysts, and pancreatic carcinoma [2,3], and tends to occur in middle-aged men with a history of alcohol abuse and a repeated relapses of acute pancreatitis [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Intraosseous fat necrosis associated with alcoholic pancreatitis

Norimura

Mizuta

Ohba

et al. 2009

Clin J Gastroenterol

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A 50-year-old man with a 30-year history of alcohol abuse was admitted because of abdominal pain. Based on an elevated serum amylase level and abdominal computed tomography findings, a diagnosis of alcoholic pancreatitis was made. The pancreatitis improved after 1 month of conservative therapy, but the patient complained of a tender right ankle that showed no abnormal findings on X-ray examination. Two months later, the patient was readmitted for recurrent pancreatitis and a swollen, warm, tender right ankle. Imaging studies, including plain radiographs, magnetic resonance imaging, and a bone scintigram showed the typical findings of intraosseous fat necrosis of the right tibia. We report a rare case of intraosseous fat necrosis associated with alcoholic pancreatitis.

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“…The osteolytic lesions are thought to have been caused by medullary fat necrosis. The location of the defects in the small bones is explained by Immelman et al (1964) as being due to the relatively small volume of medullary cavity in small bones allowing a destruction of adjacent cortical bone.…”

Section: Discussionmentioning

confidence: 99%

Traumatic pancreatitis with peripheral fat necrosis

Cochran

Mason

Davidson

1975

Postgraduate Medical Journal

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Direct damage to the pancreas occurs in about 5YO of closed abdominal injuries, many of which arise from major accidents. The fixed retro-peritoneal site of the pancreas makes it particularly vulnerable to trauma by the steering column in cars not being constructed to modem safety requirements. As these injuries become more common, and as the number of survivors of such trauma increases, the longer term complications of trauma to the pancreas will become more common. A case is described demonstrating some of these complications arising from peripheral fat necrosis. Case reportA 54-year-old labourer was admitted to the Victoria Infirmary following a steering wheel injury to the epigastrium. Initially, he was found to have guarding in the upper abdomen. His blood pressure was 120/180 and his pulse rate 70/min. A plain radiograph of chest and abdomen showed no abnormality.

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Roentgenologic and clinical features of intramedullary fat necrosis in bones in acute and chronic pancreatitis

Cited by 75 publications

References 14 publications

Arthralgia and Osteolytic Lesions Associated with Traumatic Pancreatitis in a 10-Year-Old Girl

Arthralgia and Osteolytic Lesions Associated with Traumatic Pancreatitis in a 10-Year-Old Girl

Intraosseous fat necrosis associated with alcoholic pancreatitis

Traumatic pancreatitis with peripheral fat necrosis

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