
ATLANTA, GA – The CDC has issued an advisory regarding a new disease being reported sporadically across the country. There have now been over 250 confirmed cases of what the agency has named “panniculolithiasis.”

The CDC’s press liaison, Michelle Tompkins, MD, MPH, JD, MBA, RN, BSN, Ph.D, was interviewed last week. “Basically, panniculolithiasis is diagnosed when a radiographic study of a patient reveals a suspicious calcification, but a thorough retrospective physical exam finds the calcification buried between the patient’s fat rolls.”
“One of our first reported cases of panniculolithiasis occurred in South Carolina, when an emergency physician ordered an abdominal series on a 475-lb. woman with abdominal pain. The radiologist saw an 8-mm calcification in the right mid-abdomen. Of course, he recommended clinical correlation, but could not rule out renal stone or a fecalith in the appendix.
The clinician then ordered a CT of the abdomen, which showed that the calcification was actually outside the patient. On repeat physical exam, the doctor discovered a large piece of grape flavored Nerds candy lodged between the patient’s 3rd and 4th abdominal adipose layer.”
Similar cases have been diagnosed with the aid of mammograms, extremity x-rays, and flexion/extension neck films. An Alabama man was sent to a local urologist after a suspicious prostate calcification was seen on x-ray of his pelvis, only to have the specialist find a broken piece of Werther’s Original buried in the superior aspect of his FUPA (fatty upper private area).
There is no data yet on the long term morbidity and mortality of panniculolithiasis, but the new disease is a strong predictor of type II diabetes, high cholesterol, hypertension, sleep apnea, and osteoarthritis.
OMG!! That is HILARIOUS, Judy!!
Julie Banse DeSnoo. Vickie Springer Vanden Heuvel
P.s., FUPA stands for something much more crass in my line of work. ;)
Or half a sandwich that is hidden under a giant boob….or oreos stuffed in the fat rolls… or…yeah, seen it more times than I care to mention unfortunately. o_O
LOL@ “FUPA”! Kristina Fahringer Day, wanna add your 2 cents? I know you’ve seen this illness….
I personally know someone who found a ham sandwich under a pannus
HA!!!!
Guys, its panniculolithiasis obviously, not situs inversus
We’ve had to send these patients to the nearest zoo or water park, at various hospitals I’ve been in, in order to get imaging in the scanner big enough for whales or elephants.
Can you imagine how humiliating that must have been for the patients?
Body habitus prevents clear view of (fill in the blank).
Brooke Chantay, Cynthia King
I bet the radiology department was on pins and needles as the rad techs attempted to squeeze the 475 lb lady through the CT scanner.
I have also learned through a credible source that “Jake Ho” is the actual author of this article. This, if not rectified soon, is sure to start a scandal which may very well tear our nation apart.
A classmate of mine diagnosed “lost bologna sandwich” in a morbidly obese patient once. Patient came in for pain/itching under his pannus.
Sam Crutcher
FUPA!!!
FUPA! Love it!
Dying… Will be using FUPA from now on.
They should have added to the list of associated conditions, fibromyalgia.
Kryste Brittany Cana
This is clearly a Photoshopped image. The graphics person had no clue. Most places use PACS system now.
Unless both of those patients have situs inversus, those X-rays are hung backwards.