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Vertebral Osteonecrosis Associated with Pancreatitis in a Woman with Pancreas DivisumA Case Report
Freyr Gauti Sigmundsson, BS1; Peter B. Andersen, MD1; Henrik Daa Schroeder, MD, DMSc2; Karsten Thomsen, MD, DMSc1
1 Departments of Radiology (P.B.A.) and Orthopaedic Surgery, The Spine Section (F.G.S., K.T.), Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark. E-mail address for F.G. Sigmundsson: frsig99@student.sdu.dk. E-mail address for P.B. Andersen: peter.andersen@ouh.fyns-amt.dk. E-mail address for K. Thomsen: karsten.thomsen@ouh.fyns-amt.dk
2 Department of Pathology, Odense University Hospital, Winslowparken 15, 5000 Odense C, Denmark. E-mail address: henrik.daa.schroeder@ouh.fyns-amt.dk
The Journal of Bone & Joint Surgery.  2004; 86:2504-2508 
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Extract

Intraosseous fat necrosis is a well-known complication of pancreatitis1-11. Vertebral osteonecrosis associated with pancreatitis has been described only once, to our knowledge, and on that occasion it was associated with trauma-induced pancreatitis in a child12. There have been no reports of symptomatic vertebral osteonecrosis associated with pancreatitis in an adult, to our knowledge, although such lesions were described in an autopsy report11. We present a case of fatal pancreatitis in a woman who had pancreas divisum, adenocarcinoma of the dorsal aspect of the pancreas, and associated osteonecrosis of the thoracolumbar spine.
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