An Intramedullary Fat Necrosis in Bone Following Traumatic Pancreatitis : a case report

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  • SHIMADA Hiroshi
    Department of Orthopedic Surgery, Kyorin University School of Medicine
  • ISHII Yoshiaki
    Department of Orthopedic Surgery, Kyorin University School of Medicine
  • KAWAJI Wataru
    Department of Orthopedic Surgery, Kyorin University School of Medicine

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Other Title
  • 骨髄内脂肪壊死の 1 例
  • コツズイナイ シボウ エシ ノ 1レイ

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An intramedullary fat necrosis in bone following traumatic pancreatitis is extremely rare in literature. This paper presents such a case that has been treated by us. Case : K. I. 20-year-old female had been treated after abdominal injury incurred in a traffic accident for abdominal pain and fever by a first doctor for three weeks. Abdominal pain and fever, however, did not subside, and pain and swelling of many joints occurred on extremities. Therefore, she moved to the University Hospital and had many kinds of laboratory tests. X-rays at that time showed lots of osteolytic lesions without periosteal ossification of tibia, radius and ulna. Tentative diagnosis was osteomyelitis of multiple bones. Abdominal pain disappeard and general condition improved absolutely after surgery for pseudocysts of the pancreas but the pain and swelling of joints of extremities recurred several times after the surgery. Culture of blood and pus from bones and joints was carried out several times but it was always negative. We diagnosed her condition as an intramedullary fat necrosis in bone following traumatic pancreatitis at 10 months after the surgery. She has been treated by us for pain, swelling and deformity of joints for total of one year and a half at the outpatient clinic. She is very well at present time and is still under observation.

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