Subcutaneous Fat Necrosis Associated with Pancreatitis and Portal Cirrhosis

Subcutaneous Nodular Fat Necrosis in Pancreatitis

“…Although clinically the lesions may mimic other conditions, this histologie picture is specific.14·15 Subcutaneous fat necrosis as a manifesta¬ tion of pancreatitis was recognized as long ago as 1889, when reference was made to two cases.10 The first detailed report was that of Blauvelt in 1946,17 and since then an additional 11 cases have been described. * These 12 cases, plus our own are sumReferences 9, 10, 13-15, 18 In all cases the skin involvement was predominant on the lower extremities, al¬ though in several instances, the abdomen, chest, buttocks, and upper extremities were additionally involved. Most of the lesions were less than 2 cm in diameter and were generally quite tender.…”

Traumatic Pancreatitis with a Fistula in the Thigh

“…It is probable, although there is no proof, that the first lesion was a fat necrosis, either spreading from the abdomen under Poupart's ligament or metastatic. Metastatic fat necrosis has been described in association with acute pancreatitis (Blauvelt 1946), carcinoma of the pancreas (Belsky and Cornell 1955) and with recurrent pancreatitis (Mayoral, Gomperz and Young 1959). Blauvelt and Belsky and Cornell also describe a condition resembling polyarthritis due to fat necrosis in the peri‐articular fat.…”