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Pancreatic gout and the role of multimodality imaging in its management
Huiliang Koh1, How Cheng Low2, Ju Ee Seet3
1Department of Diagnostic Imaging, National University Hospital, Singapore, Singapore.
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.
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