Pancreatic panniculitis: case report

Authors

  • Cristina P. Camacho Department of General Surgery, Coimbra Hospital University Center, Portugal
  • Eva Santos Department of General Surgery, Coimbra Hospital University Center, Portugal
  • Maria B. Pimentão Department of General Surgery, Coimbra Hospital University Center, Portugal
  • Emília C. Fraga Department of General Surgery, Coimbra Hospital University Center, Portugal
  • João M. Simões Department of General Surgery, Coimbra Hospital University Center, Portugal
  • Ana Almeida Department of General Surgery, Coimbra Hospital University Center, Portugal
  • Maria J. Amaral Department of General Surgery, Coimbra Hospital University Center, Portugal
  • Mário Sérgio Department of General Surgery, Coimbra Hospital University Center, Portugal

DOI:

https://doi.org/10.18203/2349-2902.isj20200327

Keywords:

Pancreatites, Panniculitis, Adipose tissue, Ghost cells

Abstract

Pancreatic panniculitis is a rare condition, affecting 2 to 3% of patients with pancreatic diseases, such as acute pancreatitis or pancreatic carcinoma. The clinical manifestations of panniculitis are painful erythematous nodules, predominantly affecting the lower limbs. From an anatomopathological point of view, the subcutaneous nodules are made of fat necrosis and vacuolated macrophages. The treatment consists in resolving the underlying diseases. We present the case of a 56-year-old female, admitted on the Emergency Department, who presented with acute abdominal pain and subcutaneous erythematous nodules. The combination of laboratory data, clinical and anatomopathological results confirmed the pancreatic panniculitis, in an underlying acute pancreatitis. The treatment focused on the resolution of the pancreatic disease.

Author Biographies

Cristina P. Camacho, Department of General Surgery, Coimbra Hospital University Center, Portugal

Surgery department

Resident

Eva Santos, Department of General Surgery, Coimbra Hospital University Center, Portugal

Surgery department

Resident

Maria B. Pimentão, Department of General Surgery, Coimbra Hospital University Center, Portugal

pathologic anatomy department

Resident

Emília C. Fraga, Department of General Surgery, Coimbra Hospital University Center, Portugal

Surgery department

Resident

João M. Simões, Department of General Surgery, Coimbra Hospital University Center, Portugal

Surgery department

Resident

Ana Almeida, Department of General Surgery, Coimbra Hospital University Center, Portugal

Surgery department

Resident

Maria J. Amaral, Department of General Surgery, Coimbra Hospital University Center, Portugal

Surgery department

Resident

Mário Sérgio, Department of General Surgery, Coimbra Hospital University Center, Portugal

Surgery department

Assistent

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Published

2020-01-27

Issue

Section

Case Reports