Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2020; 8(21): 5304-5312
Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5304
Pancreatic panniculitis and elevated serum lipase in metastasized acinar cell carcinoma of the pancreas: A case report and review of literature
Rainer Christoph Miksch, Tobias S Schiergens, Maximilian Weniger, Matthias Ilmer, Philipp M Kazmierczak, Markus O Guba, Martin K Angele, Jens Werner, Jan G D'Haese
Rainer Christoph Miksch, Tobias S Schiergens, Maximilian Weniger, Matthias Ilmer, Markus O Guba, Martin K Angele, Jens Werner, Jan G D'Haese, Department of General, Visceral, and Transplantation Surgery, Ludwig-Maximilians-University Munich, Munich 81377, Bavaria, Germany
Philipp M Kazmierczak, Department of Radiology, Ludwig-Maximilians-University Munich, Munich 81377, Germany
Author contributions: Miksch RC, Schiergens TS and D'Haese JG designed the report; Miksch RC, Weniger M, Ilmer M and Kazmierczak PM collected the patient’s clinical data; Miksch RC, Kazmierczak PM, Guba MO, Angele MK and Werner J analyzed the data; Miksch RC wrote the paper; Guba MO, Angele MK, Werner J and D'Haese JG made important intellectual contributions and edited and revised the manuscript; Miksch RC and Schiergens TS contributed equally to the report, created the figures, and performed the systematic review.
Informed consent statement: Consent was obtained from the patient for publication of the case and any accompanying images.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jan G D'Haese, MD, Assistant Professor, Surgeon, Department of General, Visceral, and Transplantation Surgery, Ludwig-Maximilians-University Munich, Munich 81377, Bavaria, Germany. jan.dhaese@med.uni-muenchen.de
Received: June 28, 2020
Peer-review started: June 28, 2020
First decision: July 24, 2020
Revised: July 28, 2020
Accepted: September 29, 2020
Article in press: September 29, 2020
Published online: November 6, 2020
Core Tip

Core Tip: This case report highlights the aggressive progress of metastasized pancreatic acinar cell carcinoma in a male patient. The included systematic review lends support to the possibility that increased serum lipase levels with simultaneous pancreatic panniculitis should prompt suspicion for acinar cell carcinoma and lead to further diagnostic steps.