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BMC Gastroenterology
Published in: BMC Gastroenterology 1/2020

Open Access 01-12-2020 | Panniculitis | Case report

A case report of pancreatic panniculitis due to acute pancreatitis with intraductal papillary mucinous neoplasm

Authors: Yuki Yamashita, Satoru Joshita, Tetsuya Ito, Masafumi Maruyama, Shuichi Wada, Takeji Umemura

Published in: BMC Gastroenterology | Issue 1/2020

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Abstract

Background

Pancreatic panniculitis is a rare skin manifestation in pancreatic disease patients that most frequently develops on the lower legs. We report the unique case of a 68-year-old man who suffered from pancreatic panniculitis on his trunk associated with acute pancreatitis due to an intraductal papillary mucinous neoplasm.

Case presentation

A 68-year-old man complained of a 2-day history of a tender subcutaneous nodule on his trunk. Laboratory tests and abdominal contrast computed tomography were consistent with acute pancreatitis due to an intraductal papillary mucinous neoplasm. A skin biopsy of the nodule histologically displayed lobular panniculitis with characteristic “ghost cells”, which indicated pancreatic panniculitis.

Conclusions

In order to avoid a missed or delayed diagnosis, clinicians should bear in mind that pancreatic panniculitis can be the first manifestation of pancreatic disease when encountering subcutaneous nodules on the trunk.
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Metadata
Title
A case report of pancreatic panniculitis due to acute pancreatitis with intraductal papillary mucinous neoplasm
Authors
Yuki Yamashita
Satoru Joshita
Tetsuya Ito
Masafumi Maruyama
Shuichi Wada
Takeji Umemura
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Gastroenterology / Issue 1/2020
Electronic ISSN: 1471-230X
DOI
https://doi.org/10.1186/s12876-020-01430-9

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