Levine N, Lazarus G S
Arch Dermatol. 1976 Jul;112(7):993-4. doi: 10.1001/archderm.112.7.993.
A patient with acute pancreatitis developed subcutaneous fat necrosis of the anterior abdominal wall secondary to leakage of pancreatic enzymes through a rent in the peritoneum following paracentesis. The same patient also had another subcutaneous complication of pancreatitis, namely, nodular liquifying panniculitis of the lower extremities. The diagnosis was made by the typical histological findings of subcutaneous fat necrosis, foci of necrotic cells with a "ghost-like" appearance, and basophilic-staining calcium soaps deposited around the necrotic cells.
一名急性胰腺炎患者在腹腔穿刺术后因胰酶通过腹膜裂口漏出而发生前腹壁皮下脂肪坏死。同一患者还出现了胰腺炎的另一种皮下并发症，即下肢结节性液化性脂膜炎。诊断依据皮下脂肪坏死的典型组织学表现、具有“幽灵样”外观的坏死细胞灶以及坏死细胞周围沉积的嗜碱性染色钙皂。
