Gilani M B, Akcan T, Peterson M, Zahid A
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.
Case Rep Gastrointest Med. 2021 Sep 23;2021:1051077. doi: 10.1155/2021/1051077. eCollection 2021.
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.
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。