title: Pancreatic gout and the role of multimodality imaging in its management.
abstract: Uric acid deposition in the pancreas is very rare and neither an endoscopic ultrasound (EUS) nor a contrast-enhanced CT image of this condition has ever been published. We describe a case of asymptomatic pancreatic gout that was detected incidentally on CT. Imaging features mimicked pancreatic neoplasm, warranting further evaluation with EUS-guided fine-needle aspiration. Samples revealed debris encrusted with monosodium urate crystals. Follow-up CT showed complete resolution with urate-lowering therapy. We aim to augment current knowledge on the imaging of pancreatic gout and discuss its management.
authors.affiliation: Department of Diagnostic Imaging, National University Hospital, Singapore, Singapore.
authors.forename: Huiliang
authors.initials: H
authors.lastname: Koh
authors.affiliation: Department of Gastroenterology and Hepatology, National University Hospital, Singapore, Singapore.
authors.forename: How Cheng
authors.initials: HC
authors.lastname: Low
authors.affiliation: Department of Pathology, National University Hospital, Singapore, Singapore.
authors.forename: Ju Ee
authors.initials: JE
authors.lastname: Seet
authors.affiliation: Department of Diagnostic Imaging, National University Hospital, Singapore, Singapore.
authors.forename: Wynne Yuru
authors.initials: WY
authors.lastname: Chua
mesh_terms: D000368:Aged; D000493:Allopurinol / Q000008:administration & dosage / Q000627:therapeutic use; D003937:Diagnosis, Differential; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000379:methods; D006073:Gout / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D064847:Multimodal Imaging / Q000379:methods*; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000493:Allopurinol