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A case of human pancreatic eurytremiasis

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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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

Keywords

  • Human eurytremiasis
  • Eurytrema pancreaticum
  • Pancreatic fluke
  • Pancreatic parasite infection