A case report on total pancreatic lipomatosis: An unusual entity

  • Ravinder Kumar Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
  • Abhishek Bhargava Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
  • Gagan Jaiswal Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
Keywords: Computed tomography, magnetic resonance imaging, malabsorption, pancreatic lipomatosis, steatorrhea

Abstract

Total pancreatic lipomatosis (PL) is an unusual entity of pathologic significance and speculative origin. It refers to complete replacement of pancreatic parenchyma by fat cells. Fat replacement may vary from mild fatty infiltration to massive replacement of the pancreas by adipose tissue, resulting in malabsorption syndrome due to pancreatic insufficiency. We present a case of a 60-year-old elderly woman with atypical abdominal complaints, diabetes mellitus, weight loss, and steatorrhea. Abdominal computed tomograms were diagnostic of PL. Magnetic resonance imaging verified this impression. The patient improved clinically after the 8-week trial of high-dose oral pancreatic enzyme replacement therapy. There is a marked reduction of steatorrhea and weight gain. This case report focuses on pathophysiology, diagnosis, and treatment guidelines of PL.

Author Biographies

Ravinder Kumar, Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
Associate Professor, Dept. of Radiodiagnosis,Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
Abhishek Bhargava, Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
3rd Year  P.G.Student  (Radiodiagnosis) , Dept. of RadioDiagnosis, Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
Gagan Jaiswal, Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
3rd Year  P.G.Student  (Radiodiagnosis) , Dept. of RadioDiagnosis, Geetanjali Medical College & Hospital/ Geetanjali University , Udaipur,India.
Published
2017-09-07
How to Cite
Kumar, R., Bhargava, A., & Jaiswal, G. (2017, September 7). A case report on total pancreatic lipomatosis: An unusual entity. International Journal of Health Sciences, 11(4). Retrieved from https://ijhs.org.sa/index.php/journal/article/view/2043
Section
Case report/case series