Disseminated Fat Necrosis with Asymptomatic Pancreatitis: A Case Report and Review of the Literature

A 62-year-old man with multiple nontender skin nodules is presented. Some of these nodules discharged a purulent looking fluid. At presentation, the patient did not have any other complaints. No infectious, neoplastic, or immunologic origin could be found for the nodular rash. Biochemical profile, i...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of the medical sciences 2000-01, Vol.319 (1), p.68-72
Main Authors: Carasso, Shemy, Oren, Llana, Alroy, Gideon, Krivoy, Norberto
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bone and Bones - diagnostic imaging
Diagnosis, Differential
Fat Necrosis - diagnosis
Fat Necrosis - diagnostic imaging
Gastroenterology. Liver. Pancreas. Abdomen
Histocytochemistry
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Pancreatic Cancer
Pancreatitis
Pancreatitis - diagnosis
Pancreatitis - diagnostic imaging
Paniculitis
Radionuclide Imaging
Serositis
Skin
Skin - pathology
Tomography, X-Ray Computed
Tropical medicine
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 62-year-old man with multiple nontender skin nodules is presented. Some of these nodules discharged a purulent looking fluid. At presentation, the patient did not have any other complaints. No infectious, neoplastic, or immunologic origin could be found for the nodular rash. Biochemical profile, imaging, and skin biopsy confirmed the diagnosis of disseminated fat necrosis (DFN) accompanying asymptomatic pancreatitis. The process involved the mesenteric, subcutaneous, and intramedullary fat. The skin lesions were surgically treated. Mesenteric and intramedullary fat necrosis were watched closely. A year later, the patient was readmitted with a diagnosis of pancreatitis. Subcutaneous and intramedullary necrosis were completely resolved at this time, and only mesenteric fat necrosis prevailed. The clinical syndrome of DFN, its etiology, pathophysiology, treatment, and prognosis are discussed.
ISSN:0002-9629
1538-2990
DOI:10.1016/S0002-9629(15)40681-0