2024-03-29T02:21:17Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00028386
2023-01-16T04:21:08Z
499:500:501
A case of human pancreatic eurytremiasis
Ogawa, Hiroshi
Takehara, Yasuo
Naganawa, Shinji
Yamaguchi, Junpei
Nakaguro, Masato
open access
“This is a post-peer-review, pre-copyedit version of an article published in [Abdominal Radiology]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00261-019-01925-4”.
Human eurytremiasis
Eurytrema pancreaticum
Pancreatic fluke
Pancreatic parasite infection
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.
ファイル公開:2020/04/01
Springer
2019-04
eng
journal article
AM
http://hdl.handle.net/2237/00030579
https://nagoya.repo.nii.ac.jp/records/28386
https://doi.org/10.1007/s00261-019-01925-4
2366-004X
Abdominal Radiology
44
4
1213
1216
https://nagoya.repo.nii.ac.jp/record/28386/files/revise02_rep.pdf
application/pdf
344.7 kB
2020-04-01