title: Rupture of a pancreatic cyst into the portal vein. Report of a case of subcutaneous nodular and generalized fat necrosis.
abstract: Nodular subcutaneous and generalized fat necrosis, due to rupture of a pancreatic cyst into the portal vein, occurred in a 57-year-old man. No report of a similar mechanism causing such a result was found in the literature. Multiple papular lesions, with microscopic changes in the skin, although not in themselves specific, should lead to a suspicion of systemic dissemination of pancreatic secretions into the blood stream.
authors.affiliation: Departments of Medicine and Pathology, Ravenswood Hospital, Chicago, USA.
authors.forename: M
authors.initials: M
authors.lastname: Zeller
authors.forename: H H
authors.initials: HH
authors.lastname: Hetz
mesh_terms: D000208:Acute Disease; D005218:Fat Necrosis / Q000175:diagnosis / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000150:complications*; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis*; D011169:Portal Vein / Q000473:pathology*; D012422:Rupture, Spontaneous / Q000150:complications; D012871:Skin Diseases / Q000175:diagnosis / Q000209:etiology*