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急性胰腺炎发作后出现的腹膜后脂肪坏死

Retroperitoneal Fat Necrosis in Response to an Episode of Acute Pancreatitis.

作者信息

Gilani M B, Akcan T, Peterson M, Zahid A

机构信息

Department of Internal Medicine, Marshfield Clinic Health System-Marshfield, Marshfield, WI 54449, USA.

Department of Hospital Medicine, Marshfield Clinic Health System-Marshfield, Marshfield, WI 54449, USA.

出版信息

Case Rep Gastrointest Med. 2021 Sep 23;2021:1051077. doi: 10.1155/2021/1051077. eCollection 2021.

DOI:10.1155/2021/1051077
PMID:34603801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8486497/
Abstract

Acute pancreatitis can result in fat necrosis, typically occurring in the peripancreatic region within weeks to months, and it generally appears as a low attenuation collection, with minimal heterogeneity. There are no specific imaging features that can diagnose retroperitoneal fat necrosis which may imitate other entities including certain malignancies, which may lead to invasive studies for diagnosis. Herein, we present a case of extensive retroperitoneal fat necrosis beyond the peripancreatic region that developed 10 days after an episode of acute pancreatitis.

摘要

急性胰腺炎可导致脂肪坏死,通常在数周数月内发生于胰腺周围区域,一般表现为低密度灶,异质性极小。没有能够诊断腹膜后脂肪坏死的特异性影像学特征,其可能类似包括某些恶性肿瘤在内的其他病变,这可能导致为明确诊断而进行侵入性检查。在此,我们报告1例急性胰腺炎发作10天后发生的、超出胰腺周围区域的广泛腹膜后脂肪坏死病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/773d2ea8a82f/CRIGM2021-1051077.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/f3d9d9b7b127/CRIGM2021-1051077.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/90bf8878962c/CRIGM2021-1051077.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/0ab69edefdcc/CRIGM2021-1051077.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/773d2ea8a82f/CRIGM2021-1051077.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/f3d9d9b7b127/CRIGM2021-1051077.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/90bf8878962c/CRIGM2021-1051077.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/0ab69edefdcc/CRIGM2021-1051077.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df4/8486497/773d2ea8a82f/CRIGM2021-1051077.004.jpg

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本文引用的文献

1
Fat misbehaving in the abdominal cavity: a pictorial essay.腹腔内的脂肪异常:一篇图文并茂的文章。
Pol J Radiol. 2020 Jan 21;85:e32-e38. doi: 10.5114/pjr.2020.93070. eCollection 2020.
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Post-pancreatitis Fat Necrosis Mimicking Carcinomatosis.胰腺炎后脂肪坏死酷似癌性腹膜炎。
Radiol Case Rep. 2015 Dec 7;3(2):192. doi: 10.2484/rcr.v3i2.192. eCollection 2008.
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Extensive intra-abdominal-retroperitoneal fat necrosis in a patient with renal cell carcinoma.一名肾细胞癌患者发生广泛的腹内-腹膜后脂肪坏死。
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