Abstract
A marked difference in echogenicity between the anterior and posterior parts of the pancreatic head was demonstrated by pancreatic ultrasound in 4 patients. This finding could not be related to local pancreatic or peripancreatic pathology. In all patients the dorsal portion of the head, including the uncinate process, appeared less echogenic than the ventral part of the head, body, and tail. The level of demarcation was identical in all 4 cases, coinciding with the expected fusion line of the embryological dorsal and ventral pancreatic origin. Pathology available in 1 patient showed an uneven lipomatosis as an explanation for this hitherto unreported observation.
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Lammer J, Herlinger H, Zalaudek G, Hofler H: Pseudotumorous pancreatitis.Gastrointest Radiol 10:59–67, 1985
Ferruci JT, Wittenberg J, Bock EB, Kirkpatrick RH, Hall DA: Computed tomography in chronic pancreatitis.Radiology 130:175–182, 1979
Kuhn FP, Günther R, Rücker K, Berger J: Ultrasonic demonstration of small pancreatic islet cell tumors.J Clin Ultrasound 10:173, 1982
Bücheler E, Friedmann G, Thelen M:Real-time Sonography des Körpers. Stuttgart-New York: Georg Thieme Verlag, 1983, p 205
Alpern MB, Sandler MA, Kellman GM, Madrazo BL: Chronic pancreatitis: ultrasonic features.Radiology 155:215–219, 1985
Bock E, Grandinetti F, Corcioni E, Solivetti F: Lipomatosis of the pancreas: mistake in diagnostic imaging.J Clin Ultrasound 14:398–400, 1986
Menu Y: Personal communication. Symposium Liver, Brussels, Belgium, September 10, 1988
Laméris JS: Personal communication. Sandwichcursus Echografie. Bunnik, Netherlands, September 14, 1988
Puylaert PC: Personal communication. Sandwichcursus Echografie. Brussels, Belgium, September 14, 1988
Freeny P, Lawson T: Congenital and developmental abnormalities of the pancreas. InRadiology of the Pancreas. New York, Heidelberg, Berlin: Springer-Verlag, 1982, chap 5, pp 145–147
Marks WM, Filly RA, Callen PW: Ultrasonic evaluation of normal pancreatic echogenicity and its relationship to fat deposition.Radiology 137:475–479, 1980
Marchal G, Tshibwabwa-Tumba E, Verbeken E, Van Roost W, Van Steenbergen W, Baert A, Lauweryns J: “Skip areas” in hepatic steatosis: a sonographic-angiographic study.Gastrointest Radiol 11:151–157, 1986
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Marchal, G., Verbeken, E., Van Steenbergen, W. et al. Uneven Lipomatosis: A pitfall in pancreatic Sonography. Gastrointest Radiol 14, 233–237 (1989). https://doi.org/10.1007/BF01889205
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DOI: https://doi.org/10.1007/BF01889205