Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
권호 표지
DOI QR코드

DOI QR Code

Perilesional Steatosis in Ectopic Pancreas Mimicking Exogastric Mass : A Case Report

주변부 지방침윤으로 인해 외위장 종괴로 보이는 이소성 췌장: 증례 보고

  • 남미연 (인하대학교병원 영상의학과) ;
  • 김미영 (인하대학교병원 영상의학과) ;
  • 김여주 (인하대학교병원 영상의학과) ;
  • 서창해 (인하대학교병원 영상의학과) ;
  • 최석진 (인하대학교병원 병리과) ;
  • 조재성 (뉴욕대학교 생물학과)
  • Received : 2013.03.14
  • Accepted : 2013.05.13
  • Published : 2013.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

We report an unusual case of ectopic pancreas that appeared on radiologic images as a lobulated, submucosal mass enclosed by fat component in the gastric lower body. Although, ectopic pancreas including fat component is extremely rare, in the setting of gastric submucosal mass with containing perilesional fat, these findings should be considered in ectopic pancreas as part of the differential diagnosis.

저자들은 위의 하부 체부에 지방 성분으로 둘러싸여 있는 분엽성 형태의 점막하 종괴로 나타난 이소성 췌장의 1예를 경험하였다. 지방 성분을 포함한 이소성 췌장은 매우 드물지만, 이 증례를 바탕으로 병변 주위 지방 침윤을 보이는 위 점막하 종괴가 있을 때 이소성 췌장의 가능성을 감별해야 하므로 이를 보고하는 바이다.

Keywords

References

  1. Kim JY, Lee JM, Kim KW, et al. Ectopic pancreas: CT findings with emphasis on differentiation from small gastrointestinal stromal tumor and leiomyoma. Radiology 2009;252:292
  2. Cho JS, Shin KS, Kwon ST, et al. Heterotopic pancreas in the stomach: CT findings. Radiology 2000;217:139-144 https://doi.org/10.1148/radiology.217.1.r00oc09139
  3. Katz DS, Hines J, Math KR, Nardi PM, Mindelzun RE, Lane MJ. Using CT to reveal fat-containing abnormalities of the pancreas. AJR Am J Roentgenol 1999;172:393-396 https://doi.org/10.2214/ajr.172.2.9930790
  4. Low G, Panu A, Millo N, Leen E. Multimodality imaging of neoplastic and nonneoplastic solid lesions of the pancreas. Radiographics 2011;31:993-1015 https://doi.org/10.1148/rg.314105731
  5. Soyer P, Spelle L, Pelage JP, et al. Cystic fibrosis in adolescents and adults: fatty replacement of the pancreas--CT evaluation and functional correlation. Radiology 1999;210:611-615 https://doi.org/10.1148/radiology.210.3.r99mr08611
  6. Matsumoto S, Mori H, Miyake H, et al. Uneven fatty replacement of the pancreas: evaluation with CT. Radiology 1995;194:453-458 https://doi.org/10.1148/radiology.194.2.7824726
  7. Kawamoto K, Yamada Y, Utsunomiya T, et al. Gastrointestinal submucosal tumors: evaluation with endoscopic US. Radiology 1997;205:733 https://doi.org/10.1148/radiology.205.3.9393529
  8. Kilman WJ, Berk RN. The spectrum of radiographic features of aberrant pancreatic rests involving the stomach. Radiology 1977;123:291-296 https://doi.org/10.1148/123.2.291
  9. Ferrozzi F, Tognini G, Marchesi G, Spaggiari E, Pavone P. Gastric tumors with fat components. CT findings and differential diagnosis. Radiol Med 2000;100:343-347
  10. Park SH, Han JK, Kim TK, et al. Unusual gastric tumors: radiologic-pathologic correlation. Radiographics 1999;19:1435- 1446 https://doi.org/10.1148/radiographics.19.6.g99no051435
  11. Patel S, Bellon EM, Haaga J, Park CH. Fat replacement of the exocrine pancreas. AJR Am J Roentgenol 1980;135:843-845 https://doi.org/10.2214/ajr.135.4.843

Cited by

  1. Heterotopic Pancreas with Abundant Fat Tissue in the Stomach: A Case Report vol.80, pp.4, 2013, https://doi.org/10.3348/jksr.2019.80.4.788