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Resected xanthogranulomatous pancreatitis

  • Case Reports of Interest
  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

Xanthogranulomatous changes in the pancreas are extremely rare. A 66-year-old man presented with a 2-year history of epigastralgia. Computed tomography scan revealed a 4-cm low-density area around the body of the pancreas. Magnetic resonance imaging demonstrated that the mass appeared hyperintense on a T2-weighted image and isointense on a T1-weighted image. Based on a diagnosis of invasive ductal carcinoma of the pancreas, distal pancreatectomy and splenectomy were performed. Sections examined from the mass showed an aggregation of many foamy histiocytes, lymphocytes, and plasma cells. The surrounding pancreatic tissue showed fibrosis and chronic inflammation. These findings suggested a xanthogranulomatous inflammation, and resulted in a diagnosis of xanthogranulomatous pancreatitis.

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Authors and Affiliations

  1. Division of Gastroenterological Surgery, Kochi Health Sciences Center, 2125-1 Ike, Kochi, 781-8555, Japan

    Yasuo Shima, Yuichi Saisaka, Yoshihito Furukita, Takao Nishimura, Tadashi Horimi, Toshio Nakamura, Kimiaki Tanaka, Yuichi Shibuya, Kazuhide Ozaki, Yasuo Fukui, Madoka Hamada, Yutaka Nishioka, Takahiro Okabayashi & Toshikatsu Taniki

  2. Division of Radiation Therapy, Kochi Health Sciences Center, Kochi, Japan

    Sojiro Morita

  3. Division of Pathology, Kochi Health Sciences Center, Kochi, Japan

    Jun Iwata

Authors
  1. Yasuo Shima
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  2. Yuichi Saisaka
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  3. Yoshihito Furukita
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  4. Takao Nishimura
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  5. Tadashi Horimi
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  6. Toshio Nakamura
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  7. Kimiaki Tanaka
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  8. Yuichi Shibuya
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  9. Kazuhide Ozaki
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  10. Yasuo Fukui
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  11. Madoka Hamada
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  12. Yutaka Nishioka
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  13. Takahiro Okabayashi
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  14. Toshikatsu Taniki
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  15. Sojiro Morita
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  16. Jun Iwata
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Cite this article

Shima, Y., Saisaka, Y., Furukita, Y. et al. Resected xanthogranulomatous pancreatitis. J Hepatobiliary Pancreat Surg 15, 240–242 (2008). https://doi.org/10.1007/s00534-007-1251-4

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  • DOI: https://doi.org/10.1007/s00534-007-1251-4

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