2024-03-29T12:45:17Z
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
92815
Takehara, Yasuo
92816
Naganawa, Shinji
92817
Yamaguchi, Junpei
92818
Nakaguro, Masato
92819
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
journal article
Springer
2019-04
application/pdf
Abdominal Radiology
4
44
1213
1216
2366-004X
https://nagoya.repo.nii.ac.jp/record/28386/files/revise02_rep.pdf
eng
https://doi.org/10.1007/s00261-019-01925-4
“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”.