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What does it mean when the fat gap below the pancreas appears blurred, and what should be done?

Jun 05, 2023 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Pancreatitis refers to inflammatory changes occurring in the pancreatic tissue. Inflammation may affect the clarity of the fat间隙 (fat planes) beneath the pancreas. Clinically, it presents with symptoms such as abdominal pain, nausea, vomiting, upper abdominal fullness, and belching. Treatment may include intravenous administration of medications such as ceftriaxone sodium for injection and penicillin sodium for injection, as directed by a physician.

Fat plane blurring beneath the pancreas may be associated with malnutrition, peritonitis, pancreatitis, duodenal horizontal segment perforation, or pancreatic tumors. Patients can receive treatment through daily care, medication, surgical intervention, and other methods. It is recommended to seek medical attention promptly, undergo further relevant examinations as advised by a physician, and receive targeted treatment. Specific analyses are as follows:

1. Malnutrition

If the body fails to absorb sufficient nutrients over time, resulting in malnutrition, local adipose tissue may atrophy, thereby affecting the clarity of fat planes. It is advisable to consume more nutrient-rich foods such as lean meat, fish, soy products, vegetables, and fruits.

2. Peritonitis

Peritonitis refers to an inflammatory response of the peritoneum and abdominal cavity caused by bacterial infection, chemical irritation, or local injury. Severe inflammation may involve the pancreas, leading to blurred fat planes, accompanied by symptoms such as nausea, vomiting, fever, and abdominal pain. Patients may take medications such as cefixime capsules, amoxicillin dispersible tablets, or azithromycin tablets as directed by a physician.

3. Pancreatitis

Pancreatitis refers to inflammatory lesions of the pancreatic tissue. Inflammatory stimulation can impair the clarity of the fat planes beneath the pancreas. Clinical manifestations include abdominal pain, nausea, vomiting, upper abdominal fullness, and belching. Patients may be treated with intravenous medications such as ceftriaxone sodium for injection, penicillin sodium for injection, or cefoperazone sodium for injection under medical guidance.

4. Duodenal Horizontal Segment Perforation

In cases of localized duodenal perforation, there may be significant exudation in the peripancreatic tissues, which appears as blurred pancreatic margins on imaging studies. Patients may follow medical advice to use medications such as amoxicillin capsules, cefixime capsules, or sucralfate chewable tablets to improve their condition.

5. Pancreatic Tumor

Pancreatic tumors may invade or spread into the fatty tissue beneath the pancreas, causing fat plane blurring. Improvement may be achieved through surgical procedures such as pancreatectomy or pancreaticoduodenectomy, performed under a physician's guidance.

In daily life, it is recommended to maintain a light diet and regular作息 (sleep-wake) schedule to support recovery.

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