Cholesterol crystal embolization presenting as either solid or cystic pancreatic lesion.
Cholesterol crystal embolization (CCE) can result in end-organ ischemia. Retrospective review of clinicopathologic data. The first patient was anticoagulated with coumadin for chronic atrial fibrillation and presented subacutely with a solid mass. The second patient suffered from coronary artery disease post-angioplasty/stenting and presented with acute pancreatitis and pancreatic cystification. CCE should be considered in patients with significant vascular disease, arrhythmias or vascular manipulation who present with a pancreatic mass.
Konstantinidis
Ioannis T
IT
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Warshaw
Andrew L
AL
Deshpande
Vikram
V
Sahani
Dushyant
D
Berger
David
D
Fernandez-del Castillo
Carlos
C
Ferrone
Cristina R
CR
D000368:Aged; D017700:Embolism, Cholesterol / Q000175:diagnosis*; D006801:Humans; D008297:Male; D010179:Pancreas / Q000098:blood supply*