A case of human pancreatic eurytremiasis
- Nagoya University Graduate School of Medicine, Department of Radiology (Japan)
- Nagoya University Graduate School of Medicine, Division of Surgical Oncology, Department of Surgery (Japan)
- Nagoya University Hospital, Department of Pathology and Laboratory Medicine (Japan)
This study provides the first comprehensive imaging report of human pancreatic eurytremiasis. A 43-year-old man with obstructive jaundice and a pancreatic tumor was referred for diagnosis and treatment. Serum aspartate aminotransferase, alanine aminotransferase, and gamma-glutamyl transpeptidase were elevated. Computed tomography (CT) revealed a multilocular cystic lesion with delayed enhanced area in the pancreas head. On magnetic resonance imaging, the tumor was hyperintense on diffusion-weighted image, and the apparent diffusion coefficient value of the tumor was lower than that of the normal pancreatic parenchyma. Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro-D-glucose integrated with computed tomography ({sup 18}F-FDG PET/CT) revealed abnormally increased uptake of {sup 18}F-FDG in the tumor. A subtotal stomach-preserving pancreaticoduodenectomy was performed on the preoperative diagnosis of pancreatic carcinoma accompanied by branch duct-type intraductal papillary mucinous neoplasm. Multifocal granulomatous lesions with necrotic areas including many parasite eggs were seen on the histology. The final diagnosis was pancreatic eurytremiasis.
- OSTI ID:
- 22923047
- Journal Information:
- Abdominal Radiology (Online), Journal Name: Abdominal Radiology (Online) Journal Issue: 4 Vol. 44; ISSN 2366-0058
- Country of Publication:
- United States
- Language:
- English
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