Type:
Educational Exhibit
Keywords:
Abdomen, Pancreas, Oncology, CT, Diagnostic procedure, Image compression, Acute, Inflammation, Neoplasia
Authors:
M. J. Regaña Feijoó, T. Díaz Antonio, L. Dominguez Gomez, A. Ruiz Salas, A. Dominguez Igual, C. Leiva Vera; Malaga/ES
DOI:
10.1594/ecr2018/C-0737
Conclusion
The fatty saponification associated with acute pancreatitis is a useful concept in the diagnosis and characterization of acute pancreatitis and may predispose to peripancreatic fat necrosis.
It is manifested radiologically as scattered nodular lesions that simulate peritoneal carcinomatosis and its radiological differentiation is not always possible.
The key to this will be found in the clinical history and the evolution over time of radiological findings,
with a tendency to regression in the case of fat saponification versus peritoneal carcinomatosis.
However,
there are complex cases of long evolution (even years) or with progression towards the formation of authentic masses that represent true diagnostic challenges,
which will require histological confirmation.