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Intraosseous fat necrosis associated with alcoholic pancreatitis.

Abstract
A 50-year-old man with a 30-year history of alcohol abuse was admitted because of abdominal pain. Based on an elevated serum amylase level and abdominal computed tomography findings, a diagnosis of alcoholic pancreatitis was made. The pancreatitis improved after 1 month of conservative therapy, but the patient complained of a tender right ankle that showed no abnormal findings on X-ray examination. Two months later, the patient was readmitted for recurrent pancreatitis and a swollen, warm, tender right ankle. Imaging studies, including plain radiographs, magnetic resonance imaging, and a bone scintigram showed the typical findings of intraosseous fat necrosis of the right tibia. We report a rare case of intraosseous fat necrosis associated with alcoholic pancreatitis.
AuthorsDaisuke Norimura, Yohei Mizuta, Kazuo Ohba, Junyo Oh, Hiroyuki Oohara, Nobuya Nakahara, Naoyuki Yamaguchi, Ken Ohnita, Hajime Isomoto, Saburo Shikuwa, Kazuhiko Nakao, Shigeru Kohno
JournalClinical journal of gastroenterology (Clin J Gastroenterol) Vol. 2 Issue 6 Pg. 425-430 (Dec 2009) ISSN: 1865-7257 [Print] Japan
PMID26192800 (Publication Type: Journal Article)

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