title: 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.
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan. norir333081@yahoo.co.jp.|Second Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan. norir333081@yahoo.co.jp.|Omura Municipal Hospital, Nagasaki, Japan. norir333081@yahoo.co.jp.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Norimura
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Mizuta
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Ohba
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.|Omura Municipal Hospital, Nagasaki, Japan.
authors.forename: Junyo
authors.initials: J
authors.lastname: Oh
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.|Omura Municipal Hospital, Nagasaki, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Oohara
authors.affiliation: Omura Municipal Hospital, Nagasaki, Japan.
authors.forename: Nobuya
authors.initials: N
authors.lastname: Nakahara
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Yamaguchi
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Ohnita
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Isomoto
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
authors.forename: Saburo
authors.initials: S
authors.lastname: Shikuwa
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Biomedical Science, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Nakao
authors.affiliation: Second Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
keywords: Intraosseous fat necrosis; PPP syndrome; Pancreatitis