Pancreatic panniculitis and elevated serum lipase in metastasized acinar cell carcinoma of the pancreas: A case report and review of literature

Figure 1 T2-weighted magnetic resonance images showing acinar cell carcinoma of the pancreatic head with synchronous liver metastases before surgery. The patient’s presurgical bloodwork showed lipase of 5580 U/L, amylase of 172 U/L, C-reactive protein of 3.3 mg/dL, and leukocytes of 5 G/L. A: Primary tumor localized in the processus uncinatus; B and C: T2-weighted HASTE cor showing prepapillary tumor (arrow) infiltrating the common hepatic duct, which is extended; D: Hepatic metastasis in liver segment VI (arrow).