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Alcohol abuse.
From the case:
Chronic pancreatitis (gross pathology)
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Ectatic ducts, fibrosis and dystrophic calcifications of the pancreatic parenchyma.
Case Discussion
Case reproduced with permission, courtesy of Dr. Katharina Glatz, Basel, Switzerland, Pathorama.ch (original case at is here). All rights reserved; please see original case for copyright information.