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 |
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container_title | Gastroenterology (New York, N.Y. 1943) |
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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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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.</description><identifier>ISSN: 0016-5085</identifier><identifier>EISSN: 1528-0012</identifier><identifier>DOI: 10.1016/0016-5085(92)90347-2</identifier><identifier>PMID: 1587438</identifier><identifier>CODEN: GASTAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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</subject><ispartof>Gastroenterology (New York, N.Y. 1943), 1992-06, Vol.102 (6), p.2151-2154</ispartof><rights>1992</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-8ecc1de4073cf4239ebb18689cde8566771df4c1aa6d6512aad156e92a1116713</citedby><cites>FETCH-LOGICAL-c498t-8ecc1de4073cf4239ebb18689cde8566771df4c1aa6d6512aad156e92a1116713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0016-5085(92)90347-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4311974$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1587438$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kitagawa, Motoji</creatorcontrib><creatorcontrib>Hayakawa, Tetsuo</creatorcontrib><creatorcontrib>Kondo, Takaharu</creatorcontrib><creatorcontrib>Shibata, Tokimune</creatorcontrib><creatorcontrib>Sakai, Yuzo</creatorcontrib><creatorcontrib>Sobajima, Hiroshi</creatorcontrib><creatorcontrib>Ishiguro, Hiroshi</creatorcontrib><creatorcontrib>Tanikawa, Makoto</creatorcontrib><creatorcontrib>Nakae, Yasuyuki</creatorcontrib><creatorcontrib>Nimura, Yuji</creatorcontrib><creatorcontrib>Kamiya, Jun-Ichi</creatorcontrib><creatorcontrib>Kondo, Satoshi</creatorcontrib><creatorcontrib>Yasui, Akihiro</creatorcontrib><title>Pancreatic stone predominantly composed of fatty acid calcium</title><title>Gastroenterology (New York, N.Y. 1943)</title><addtitle>Gastroenterology</addtitle><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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Calcium - analysis</subject><subject>Calculi - chemistry</subject><subject>Calculi - diagnostic imaging</subject><subject>Fatty Acids - analysis</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pancreas - diagnostic imaging</subject><subject>Pancreatic Diseases - diagnostic imaging</subject><subject>Pancreatic Diseases - metabolism</subject><subject>Tomography, X-Ray Computed</subject><issn>0016-5085</issn><issn>1528-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFq3DAQhkVoSTabvEEKPpSSHNxoZFmWDi2UkLSFQHJIzkI7GoOKbW0kb2HfPtrskt56mTn83wwzH2MXwL8CB3XNS6lbrttLI64Mb2RXiyO2gFboumTiA1u8IyfsNOc_nHPTaDhmx9DqTjZ6wb49ugkTuTlglec4UbVO5OMYJjfNw7bCOK5jJl_FvurdPG8rh8FX6AYMm_GMfezdkOn80Jfs-e726eZXff_w8_fNj_sapdFzrQkRPEneNdhL0RharUArbdCTbpXqOvC9RHBOedWCcM5Dq8gIBwCqg2bJvuz3rlN82VCe7Rgy0jC4ieIm206YTkilCij3IKaYc6LerlMYXdpa4HZnze6U2J0Sa4R9s2ZFGft02L9ZjeT_De01lfzzIXe5vN6nIi3kd0w2AKaAS_Z9j1Fx8TdQshkDTUg-JMLZ-hj-f8crU_mH0g</recordid><startdate>19920601</startdate><enddate>19920601</enddate><creator>Kitagawa, Motoji</creator><creator>Hayakawa, Tetsuo</creator><creator>Kondo, Takaharu</creator><creator>Shibata, Tokimune</creator><creator>Sakai, Yuzo</creator><creator>Sobajima, Hiroshi</creator><creator>Ishiguro, Hiroshi</creator><creator>Tanikawa, Makoto</creator><creator>Nakae, Yasuyuki</creator><creator>Nimura, Yuji</creator><creator>Kamiya, Jun-Ichi</creator><creator>Kondo, Satoshi</creator><creator>Yasui, Akihiro</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920601</creationdate><title>Pancreatic stone predominantly composed of fatty acid calcium</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-8ecc1de4073cf4239ebb18689cde8566771df4c1aa6d6512aad156e92a1116713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Calcium - analysis</topic><topic>Calculi - chemistry</topic><topic>Calculi - diagnostic imaging</topic><topic>Fatty Acids - analysis</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pancreas - diagnostic imaging</topic><topic>Pancreatic Diseases - diagnostic imaging</topic><topic>Pancreatic Diseases - metabolism</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kitagawa, Motoji</creatorcontrib><creatorcontrib>Hayakawa, Tetsuo</creatorcontrib><creatorcontrib>Kondo, Takaharu</creatorcontrib><creatorcontrib>Shibata, Tokimune</creatorcontrib><creatorcontrib>Sakai, Yuzo</creatorcontrib><creatorcontrib>Sobajima, Hiroshi</creatorcontrib><creatorcontrib>Ishiguro, Hiroshi</creatorcontrib><creatorcontrib>Tanikawa, Makoto</creatorcontrib><creatorcontrib>Nakae, Yasuyuki</creatorcontrib><creatorcontrib>Nimura, Yuji</creatorcontrib><creatorcontrib>Kamiya, Jun-Ichi</creatorcontrib><creatorcontrib>Kondo, Satoshi</creatorcontrib><creatorcontrib>Yasui, Akihiro</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastroenterology (New York, N.Y. 1943)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kitagawa, Motoji</au><au>Hayakawa, Tetsuo</au><au>Kondo, Takaharu</au><au>Shibata, Tokimune</au><au>Sakai, Yuzo</au><au>Sobajima, Hiroshi</au><au>Ishiguro, Hiroshi</au><au>Tanikawa, Makoto</au><au>Nakae, Yasuyuki</au><au>Nimura, Yuji</au><au>Kamiya, Jun-Ichi</au><au>Kondo, Satoshi</au><au>Yasui, Akihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pancreatic stone predominantly composed of fatty acid calcium</atitle><jtitle>Gastroenterology (New York, N.Y. 1943)</jtitle><addtitle>Gastroenterology</addtitle><date>1992-06-01</date><risdate>1992</risdate><volume>102</volume><issue>6</issue><spage>2151</spage><epage>2154</epage><pages>2151-2154</pages><issn>0016-5085</issn><eissn>1528-0012</eissn><coden>GASTAB</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>1587438</pmid><doi>10.1016/0016-5085(92)90347-2</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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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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