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ARTICLE |

Macroscopic Cysts of the Pancreas in Cystic Fibrosis Demonstrated by Multiple Radiological Modalities FREE

Robert J. Churchill, MD; Daniel G. Cunningham, MD; Robert E. Henkin, MD; Carlos J. Reynes, MD
[+] Author Affiliations

Reprint requests to Department of Radiology, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153 (Dr Churchill).


JAMA. 1981;245(1):72-74. doi:10.1001/jama.1981.03310260050033
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History  A 16-year-old girl was known to have cystic fibrosis for many years, with the diagnosis substantiated by sweat test results. The clinical history was characterized by pulmonary involvement of increasing severity and steatorrhea requiring large doses of oral pancreatic enzymes. Cor pulmonale, peripheral cyanosis, and digital clubbing developed. Laboratory and clinical evidence of hepatic involvement was not present.The upper abdomen was examined with a third-generation computed tomographic (CT) scanner, using a scan time of 5 s. Contiguous, 1 cm thick images were obtained after the ingestion of dilute, water-soluble contrast medium (Fig 1). The ultrasound study was performed with a digital, gray-scale unit. Scans were obtained in longitudinal and transverse planes in supine, upright, and left posterior oblique positions (Fig 2). Rose bengal sodium I 131 radionuclide images were obtained at one and four hours with a gamma camera after the injection of 175 μCi of the isotope

REFERENCES

Shwachman H:  Gastrointestinal manifestations of cystic fibrosis . Pediatr Clin North Am 1975;;22:787-805.
Grand RJ:  Changing patterns of gastrointestinal manifestations of cystic fibrosis: Survey of recent progress in diagnosis and treatment . Clin Pediatr 1970;;9:588-593.
Openheimer EH, Esterly JR:  Pathology of cystic fibrosis: Review of literature and comparison with 146 autopsied cases . Perspect Pediatr Pathol 1975;;2:241-278.
Grand RJ, Schwartz RH, diSantiAgnese PA, et al:  Macroscopic cysts of the pancreas in a case of cystic fibrosis . J Pediatr 1966;;69:393-398.
Anderson DH:  Cystic fibrosis of the pancreas . J Chronic Dis 1958;;7:58-90.
Anfanger H, Bass MH, Heavenrich R, et al:  Pancreatic achylia and glycosuria due to cystic disease of the pancreas in a 9-year-old child . J Pediatr 1949;;35:151-164.

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Shwachman H:  Gastrointestinal manifestations of cystic fibrosis . Pediatr Clin North Am 1975;;22:787-805.
Grand RJ:  Changing patterns of gastrointestinal manifestations of cystic fibrosis: Survey of recent progress in diagnosis and treatment . Clin Pediatr 1970;;9:588-593.
Openheimer EH, Esterly JR:  Pathology of cystic fibrosis: Review of literature and comparison with 146 autopsied cases . Perspect Pediatr Pathol 1975;;2:241-278.
Grand RJ, Schwartz RH, diSantiAgnese PA, et al:  Macroscopic cysts of the pancreas in a case of cystic fibrosis . J Pediatr 1966;;69:393-398.
Anderson DH:  Cystic fibrosis of the pancreas . J Chronic Dis 1958;;7:58-90.
Anfanger H, Bass MH, Heavenrich R, et al:  Pancreatic achylia and glycosuria due to cystic disease of the pancreas in a 9-year-old child . J Pediatr 1949;;35:151-164.
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