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KMID : 0614619930250030587
Korean Journal of Gastroenterology
1993 Volume.25 No. 3 p.587 ~ p.589
A Case of the Fat Replacement of the Pancrease showing Specific ERCP Finding
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Abstract
Fat replacement of pancreas (also termed lipomatosis, adipose atrophy or fat infiltration) is defined as increase in size and mass of pancreas with fatty infiltration. Pathologic characteristics of lipomatosis are the replacement of pancreatic
parenchymal cells with normal adipose tissue and almost complete abscence of acinar cell except the preservation of islets of Langerhans. Pathogenesis is not well established but it has been said to be associated with variable disease but the
most
have
major clinical significance.
Unique endoscopic retrograde pancreatogram of far repalcement of pancreas is not yet reported in Korea. We experienced a 57 years-old woman whose endoscopic retrogade cholangiopancreatogaphy (ERCP) showed sudden stenotic main pancreatic duct at
the
body
and tail portion and multiple common bile duct stones. Fat replacement of pancreas was diagnosed by computed tomogram. So the case history was presented and reviewed.
KEYWORD
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