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A case of human pancreatic eurytremiasis

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Abdominal Radiology Aims and scope Submit manuscript

Abstract

This study provides the first comprehensive imaging report of human pancreatic eurytremiasis. A 43-year-old man with obstructive jaundice and a pancreatic tumor was referred for diagnosis and treatment. Serum aspartate aminotransferase, alanine aminotransferase, and gamma-glutamyl transpeptidase were elevated. Computed tomography (CT) revealed a multilocular cystic lesion with delayed enhanced area in the pancreas head. On magnetic resonance imaging, the tumor was hyperintense on diffusion-weighted image, and the apparent diffusion coefficient value of the tumor was lower than that of the normal pancreatic parenchyma. Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro-d-glucose integrated with computed tomography (18F-FDG PET/CT) revealed abnormally increased uptake of 18F-FDG in the tumor. A subtotal stomach-preserving pancreaticoduodenectomy was performed on the preoperative diagnosis of pancreatic carcinoma accompanied by branch duct-type intraductal papillary mucinous neoplasm. Multifocal granulomatous lesions with necrotic areas including many parasite eggs were seen on the histology. The final diagnosis was pancreatic eurytremiasis.

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Authors and Affiliations

  1. Department of Radiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Shouwa-ku, Nagoya, 466-8550, Japan

    Hiroshi Ogawa, Yasuo Takehara & Shinji Naganawa

  2. Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan

    Junpei Yamaguchi

  3. Department of Pathology and Laboratory Medicine, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan

    Masato Nakaguro

Authors
  1. Hiroshi Ogawa
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  2. Yasuo Takehara
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  3. Shinji Naganawa
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  4. Junpei Yamaguchi
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  5. Masato Nakaguro
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Corresponding author

Correspondence to Hiroshi Ogawa.

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Yasuo Takehara is an endowed chair of the department supported by a private company.

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Ogawa, H., Takehara, Y., Naganawa, S. et al. A case of human pancreatic eurytremiasis. Abdom Radiol 44, 1213–1216 (2019). https://doi.org/10.1007/s00261-019-01925-4

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  • DOI: https://doi.org/10.1007/s00261-019-01925-4

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