Ectopic pancreas in the gastric antrum: A spectrum of imaging findings

Introduction: Problem of Abstraction of such an independent nosological form as non-alcoholic fatty disease of the pancreas has beenwidely debated in the past few years (M. M. Smits, 2011). Aims: To study the frequency of combination of non-alcoholic fatty disease of the liver and pancreas according to the results of computed tomography. Patients & methods: 180 patients with obesity were examined. All patients underwent computed tomography with an assessment of the organs’ density pursuant to the Hounsfield scale. Presence of fatty infiltration of both organs was determined upon the identification of hypodensia. Other computer-tomographic signs of steatosis of the liver and pancreas were also taken into consideration, particularly, steatosis of the pancreas was accompanied by a lobulation and certain lack of clarity of its structure. Density of the pancreas in the regions of its head, body and tail was determined. Results: Combination of steatosis of the liver and pancreas was detected in 126 (70.0%) patients. Steatosis of the pancreas in conjunction with a normal density of the liver was detected in 45 (25.0%) patients according to the results of computed tomography. The rarest variant that presupposed steatosis of the liver upon the absence of fatty infiltration of the pancreas was diagnosed in 9 (5.0%) patients. Significant differences of the densitometric density of the pancreas in its head, body and tail were not found. Conclusion: In the majority of cases, both steatosis of the liver and steatosis of the pancreas are developing in patients with metabolic syndrome.