Pancreatic panniculitis and solid pseudopapillary tumor of the pancreas: A case report

Abstract

Solid pseudopapillary tumor of the pancreas (SPTP), also known as solid and papillary epithelial neoplasm of the pancreas, is a rare pancreatic exocrine tumor that is difficult to diagnose before surgery. Pancreatic panniculitis is a rare type that occurs in less than 3% of all patients with pancreatic diseases. We here report a 19-year-old woman who presented with persistent left upper quadrant pain without obvious cause for 1 d. The patient also developed subcutaneous nodules involving lower abdomen bilaterally and lower limbs, and subcutaneous nodules were pathologically diagnosed as pancreatic panniculitis. Plain abdominal computed tomography revealed a soft-tissue mass in the body and tail of the pancreas, which was closely associated with the gastric wall. Contrast-enhanced ultrasound showed inhomogeneous echogenicity in the anterior pancreatic body, which had blurred parenchymal demarcation of the body and tail of the pancreas. Contrast-enhanced abdominal computed tomography revealed a mixed density mass with solid and cystic components in the body and tail of the pancreas, and the solid component was markedly enhanced. The lesion was pathologically diagnosed as SPTP after laparoscopic resection. Clinicians should be aware of the clinical manifestation, diagnosis, and treatment of pancreatic panniculitis and SPTP.

Pancreatic Panniculitis: A Rare Presentation Case

“…Imagiological studies (ultrasonography, computed tomography scan, pancreatic echoendoscopy and PET scan) showed no alterations compatible with acute/chronic pancreatitis neither pancreatic carcinoma and the serum amylase and lipase decreased to values compatible with kidney disease. 2,3,5 The authors emphasize the originality of this case given the resolution of symptoms and no findings of pancreatitis nor pancreatic carcinoma. 1,4,5…”

“…2,3,5 The authors emphasize the originality of this case given the resolution of symptoms and no findings of pancreatitis nor pancreatic carcinoma. 1,4,5…”

“…1); biopsy revealed pancreatic panniculitis; he had elevation of serum amylase and lipase (9x upper normal level). [1][2][3][4][5] No smoking or alcoholic habits.…”

A case report of pancreatic panniculitis due to acute pancreatitis with intraductal papillary mucinous neoplasm

“…In the clinical setting, panniculitis is noticed as erythematous, ill-defined, and/or redbrown nodules [2] that generally affect the lower limbs and buttocks, rarely the trunk and upper extremities [3]. Only 9 cases have been described of pancreatic panniculitis on the trunk [3][4][5][6][7][8][9][10][11]. We encountered a unique case of subcutaneous nodules on the abdomen with latent IPMN.…”