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胰腺脂肪瘤样假性肥大的罕见病例。

A rare case of lipomatous pseudohypertrophy of the pancreas.

作者信息

Luu Vu Dang, Duc Nguyen Minh, My Thieu-Thi Tra, Viet Nguyen Khoi, Bang Luong Viet, Thong Pham Minh

机构信息

Department of Radiology, Bach Mai Hospital, Ha Noi, Viet Nam.

Department of Radiology, Ha Noi Medical University, Ha Noi, Viet Nam.

出版信息

Radiol Case Rep. 2021 Apr 9;16(6):1363-1367. doi: 10.1016/j.radcr.2021.03.045. eCollection 2021 Jun.

Abstract

Lipomatous pseudohypertrophy of the pancreas is a rare disease with unknown etiology, and the pancreas parenchyma is replaced by pancreatic parenchyma by fat tissue. In this article, we aimed to report the case of a 26-year-old male patient admitted to hospital with loss of appetite for 6 months. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) scans showed diffuse enlargement and fatty replacement over the whole pancreas, with scattered remnants of pancreatic parenchyma. Histologic results defined lipomatous pseudohypertrophy of the pancreas. To summarize, this case report is to put forward this extremely rare presentation and to sensitize clinicians that this entity can be a cause of exocrine pancreatic insufficiency, which requires patient follow-up for the appropriate treatment.

摘要

胰腺脂肪性假肥大是一种病因不明的罕见疾病,胰腺实质被脂肪组织替代。在本文中,我们旨在报告一名26岁男性患者的病例,该患者因食欲不振6个月入院。腹部计算机断层扫描(CT)和磁共振成像(MRI)扫描显示整个胰腺弥漫性肿大和脂肪替代,伴有散在的胰腺实质残余。组织学结果明确为胰腺脂肪性假肥大。总之,本病例报告旨在提出这种极其罕见的表现,并提醒临床医生该实体可能是外分泌性胰腺功能不全的一个原因,这需要对患者进行随访以便进行适当治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62ff/8055528/af56fb988c9b/gr1.jpg

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