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It is common in elderly, obese individuals and in some patients with congenital disorders such as cystic fibrosis and Shwachman-Diamond syndrome. Other conditions relate to diffuse fatty replacement of pancreas include Steroid therapy, Diabetes mellitus, Chronic Pancreatitis, Cushing’s syndrome, Hemochromatosis and Malnutrition [5,6]. Ultrasonography has limited role and can be misleading due to the overlying gas in the bowel loops causing difficulty in the evaluation of the pancreas and its fatty infiltration, which is associated with increased echogenicity of the pancreas making its differentiation difficult from normally seen retroperitoneal fat [7]. Pancreatic tissue replaced by the fat shows a negative attenuation value on unenhanced CT scan [8]. Chemical shift magnetic resonance Abstract

A Missed Cause of Malabsorption Syndrome: Total Pancreatic Lipomatosis Detected On Computed Tomography