Ultrasound analysis for pancreatic panniculitis: A case report.
10.11817/j.issn.1672-7347.2022.210523
- Author:
Qian LIN
1
,
2
;
Junlai LI
1
,
3
Author Information
1. Department of Ultrasound, Second Medical Center
2. National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing 100853, China. lq786130@sina.com.
3. National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing 100853, China.
- Publication Type:Journal Article
- Keywords:
pancreatitis;
panniculitis;
ultrasound
- MeSH:
Acute Disease;
Aged;
Female;
Humans;
Inflammation/complications*;
Pancreatic Diseases/diagnostic imaging*;
Pancreatitis/diagnostic imaging*;
Panniculitis/etiology*;
Ultrasonography
- From:
Journal of Central South University(Medical Sciences)
2022;47(1):139-142
- CountryChina
- Language:English
-
Abstract:
Pancreatic panniculitis (PP) is a necrotizing inflammation of subcutaneous fat that is a rare complication of pancreatic disease appearing in 2% to 3% of all patients. It is more common in the elderly and often affects the extremities. It presents as skin inflammation with pain and erythema nodules. We report a case of acute pancreatitis associated with PP in an old female. She was admitted for vomiting and abdominal pain for 3 days and presented with a 2-week history of erythematous subcutaneous nodules on her legs. Laboratory and ultrasonic findings revealed acute pancreatitis. High frequency ultrasound showed hypoechoic foci in subcutaneous soft tissue layer and adipose layer. Histopathological examination confirmed the diagnosis of PP. Nodules disappeared with the resolution of acute pancreatic inflammation. PP may be the first manifestation of pancreatic disease. Imaging features of this pathology are seldom described and ultrasonic diagnosis experience is worth to be accumulated.
