Investigative Magnetic Resonance Imaging  2016;20(3):185-190

doi:10.13104/imri.2016.20.3.185

Xanthogranulomatous Pancreatitis Mimicking a Pancreatic Cancer on CT and MRI: a Case Report and Literature Review.

Jong Min PARK 1 ; Seung Hyun CHO ; Han Ik BAE ; An Na SEO ; Hye Jung KIM ; So Mi LEE ; Jae Hyuck YI ; Jae Kwang LIM ; Chang Min CHO

Affiliations

+expand

Keywords

Xanthogranulomatous pancreatitis; Xanthogranulomatous inflammation; Pancreatitis; Pancreas; Magnetic resonance imaging

Country

Republic of Korea

Language

English

Abstract

Xanthogranulomatous inflammation is a rare benign condition involving various organs. However, its pancreas involvement is very rare. To the best of our knowledge, only 17 cases have been described in the literature. Interestingly, all reported 17 cases due to various causes underwent surgical resection. Here, we present a case of xanthogranulomatous pancreatitis in a 63-year-old man. He presented with epigastric pain and solid mass mimicking ductal adenocarcinoma in the body and tail of pancreas on magnetic resonance imaging. The patient was diagnosed as xanthogranulomatous pancreatitis via endoscopic ultrasound-guided fine needle aspiration. After that, he was followed up and monitored without any surgical treatment. Here, we show imaging findings and serial image changes of xanthogranulomatous pancreatitis for this case.