Chronic pancreatitis

Case contributed by David Cuete
Diagnosis certain

Presentation

History of alcoholism

Patient Data

Age: 50 years
Gender: Male

CT abdomen and pelvis

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
Curve
MPR
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Info

Thick punctate pancreatic calcifications with dilatation of duct of Wirsung. Distended gallbladder. Decreased liver attenuation coefficient, probably due to fat infiltration.

No focal hepatic lesions are observed. Normal adrenal glands and kidneys. No ascites or retroperitoneal lymphadenopathy are observed.

Case Discussion

This case shows typical findings of chronic pancreatitis with calcification and main duct dilatation. This is most commonly associated with chronic alcohol abuse as was the case for this patient. 

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