Pancreatic stone predominantly composed of fatty acid calcium

A 41-year-old man with chronic pancreatitis and pancreatic stones predominantly composed of fatty acid calcium is reported. He had complained of occasional abdominal pain for 10 years and visited the hospital because of a severe attack of abdominal pain. Laboratory data supported a diagnosis of panc...

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Veröffentlicht in:Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 1992-06, Vol.102 (6), p.2151-2154
Hauptverfasser: Kitagawa, Motoji, Hayakawa, Tetsuo, Kondo, Takaharu, Shibata, Tokimune, Sakai, Yuzo, Sobajima, Hiroshi, Ishiguro, Hiroshi, Tanikawa, Makoto, Nakae, Yasuyuki, Nimura, Yuji, Kamiya, Jun-Ichi, Kondo, Satoshi, Yasui, Akihiro
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container_end_page 2154
container_issue 6
container_start_page 2151
container_title Gastroenterology (New York, N.Y. 1943)
container_volume 102
creator Kitagawa, Motoji
Hayakawa, Tetsuo
Kondo, Takaharu
Shibata, Tokimune
Sakai, Yuzo
Sobajima, Hiroshi
Ishiguro, Hiroshi
Tanikawa, Makoto
Nakae, Yasuyuki
Nimura, Yuji
Kamiya, Jun-Ichi
Kondo, Satoshi
Yasui, Akihiro
description A 41-year-old man with chronic pancreatitis and pancreatic stones predominantly composed of fatty acid calcium is reported. He had complained of occasional abdominal pain for 10 years and visited the hospital because of a severe attack of abdominal pain. Laboratory data supported a diagnosis of pancreatitis. Computed tomography (CT) showed a high-density area in the head of the pancreas, and the CT number of this high-density area was lower than usual for pancreatic stones. Ultrasonography and endoscopic retrograde pancreatography showed a cystic lesion with small pancreatic stones in the head of the pancreas and irregular dilatation of the main pancreatic duct. Pancreaticojejunostomy and resection of pancreatic cyst were carried out for repeated episodes of abdominal pain under the diagnosis of chronic pancreatitis. The pancreatic stones obtained at surgery were proved to be mainly composed of fatty acid calcium after analysis of chemical composition of the stones. Fatty acid calcium was sometimes found in the biliary stones but never in the pancreatic stones.
doi_str_mv 10.1016/0016-5085(92)90347-2
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subjects Adult
Biological and medical sciences
Calcium - analysis
Calculi - chemistry
Calculi - diagnostic imaging
Fatty Acids - analysis
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Medical sciences
Pancreas - diagnostic imaging
Pancreatic Diseases - diagnostic imaging
Pancreatic Diseases - metabolism
Tomography, X-Ray Computed
title Pancreatic stone predominantly composed of fatty acid calcium
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