Investigative Magnetic Resonance Imaging

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

DOI QR Code

Xanthogranulomatous Pancreatitis Mimicking a Pancreatic Cancer on CT and MRI: a Case Report and Literature Review

  • Park, Jong Min (Department of Radiology, Kyungpook National University Hospital, Kyungpook National University, School of Medicine) ;
  • Cho, Seung Hyun (Department of Radiology, Kyungpook National University Medical Center, Kyungpook National University School of Medicine) ;
  • Bae, Han-Ik (Department of Pathology, Kyungpook National University Medical Center, Kyungpook National University School of Medicine) ;
  • Seo, An Na (Department of Pathology, Kyungpook National University Medical Center, Kyungpook National University School of Medicine) ;
  • Kim, Hye Jung (Department of Radiology, Kyungpook National University Medical Center, Kyungpook National University School of Medicine) ;
  • Lee, So Mi (Department of Radiology, Kyungpook National University Medical Center, Kyungpook National University School of Medicine) ;
  • Yi, Jae Hyuck (Department of Radiology, Kyungpook National University Hospital, Kyungpook National University, School of Medicine) ;
  • Lim, Jae-Kwang (Department of Radiology, Kyungpook National University Hospital, Kyungpook National University, School of Medicine) ;
  • Cho, Chang Min (Department of Internal Medicine, Kyungpook National University Medical Center, Kyungpook National University School of Medicine)
  • Received : 2016.07.24
  • Accepted : 2016.09.06
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Xanthogranulomatous inflammation is a rare benign condition involving various organs. However, its pancreas involvement is very rare. To the best of our knowledge, only 17 cases have been described in the literature. Interestingly, all reported 17 cases due to various causes underwent surgical resection. Here, we present a case of xanthogranulomatous pancreatitis in a 63-year-old man. He presented with epigastric pain and solid mass mimicking ductal adenocarcinoma in the body and tail of pancreas on magnetic resonance imaging. The patient was diagnosed as xanthogranulomatous pancreatitis via endoscopic ultrasound-guided fine needle aspiration. After that, he was followed up and monitored without any surgical treatment. Here, we show imaging findings and serial image changes of xanthogranulomatous pancreatitis for this case.

Keywords

References

  1. Kim HS, Joo M, Chang SH, et al. Xanthogranulomatous pancreatitis presents as a solid tumor mass: a case report. J Korean Med Sci 2011;26:583-586 https://doi.org/10.3346/jkms.2011.26.4.583
  2. Houston JP, Collins MC, Cameron I, Reed MW, Parsons MA, Roberts KM. Xanthogranulomatous cholecystitis. Br J Surg 1994;81:1030-1032 https://doi.org/10.1002/bjs.1800810735
  3. Ueno T, Hamanaka Y, Nishihara K, et al. Xanthogranulomatous change appearing in the pancreas cyst wall. Pancreas 1993;8:649-651 https://doi.org/10.1097/00006676-199309000-00020
  4. Kamitani T, Nishimiya M, Takahashi N, Shida Y, Hasuo K, Koizuka H. Xanthogranulomatous pancreatitis associated with intraductal papillary mucinous tumor. AJR Am J Roentgenol 2005;185:704-707 https://doi.org/10.2214/ajr.185.3.01850704
  5. Iyer VK, Aggarwal S, Mathur M. Xanthogranulomatous pancreatitis: mass lesion of the pancreas simulating pancreatic carcinoma--a report of two cases. Indian J Pathol Microbiol 2004;47:36-38
  6. Kim YN, Park SY, Kim YK, Moon WS. Xanthogranulomatous pancreatitis combined with intraductal papillary mucinous carcinoma in situ. J Korean Med Sci 2010;25:1814-1817 https://doi.org/10.3346/jkms.2010.25.12.1814
  7. Okabayashi T, Nishimori I, Kobayashi M, et al. Xanthogranulomatous pancreatic abscess secondary to acute pancreatitis: two case reports. Hepatogastroenterology 2007;54:1648-1651
  8. Shima Y, Saisaka Y, Furukita Y, et al. Resected xanthogranulomatous pancreatitis. J Hepatobiliary Pancreat Surg 2008;15:240-242 https://doi.org/10.1007/s00534-007-1251-4
  9. Uguz A, Yakan S, Gurcu B, Yilmaz F, Ilter T, Coker A. Xanthogranulomatous pancreatitis treated by duodenumpreserving pancreatic head resection. Hepatobiliary Pancreat Dis Int 2010;9:216-218
  10. Ikeura T, Takaoka M, Shimatani M, et al. Xanthogranulomatous inflammation of the peripancreatic region mimicking pancreatic cystic neoplasm. Intern Med 2009;48:1881-1884 https://doi.org/10.2169/internalmedicine.48.2088

Cited by

  1. Imaging and clinical features of xanthogranulomatous pancreatitis: an analysis of 10 cases at a single institution vol.43, pp.12, 2016, https://doi.org/10.1007/s00261-018-1630-0