Extremely rare case of acute edematous pancreatitis associated with an incidental pancreatic lipoma

Case report: A 60-year-old woman was admitted to the Hospital because of intense epigastric pain, nausea and vomiting. Her previous medical history was negative. The physical examination revealed epigastric tenderness and positive Murphy's sign. Laboratory tests showed neutrophilic leukocytosis, high ESR, amylase and lipase. Gamma-GT, alkaline phosphatase, total and direct bilirurbin were in the normal range. Ultrasound showed an oval shape and hypoechoic lesion with maximum size of 2.5 cm, located in the head of pancreas; the organ had blurred margins and was increased in size. Color Doppler sonogram did not re…