Chronic pancreatitis

Case contributed by Dr Ian Bickle

Presentation

End stage renal disease and hypothyroidism. Abdominal pain. No alcohol consumption.

Patient Data

Age: 20 years
Gender: Female
X-ray

Chest

Tracheostomy.
Left basal pleural thickening.
Lungs clear.
Punctate calcification in the upper abdomen in the midline.

Abdomen

Right femoral line.
Puncture calcification in the midline of the upper abdomen following morphology of the pancreas.

CT

Punctate calcification throughout the pancreas.

No gallstones.

The kidneys are atrophic.

Small amount of upper abdominal free fluid.

Case Discussion

The appearances are of chronic pancreatitis.

Worldwide, alcohol excess is the commonest cause although there is a wide differential.

Starting with the CXR this makes a decent examination viva case:

- spot the film edge (review area) of the chest radiograph abnormality of upper abdominal calcification

- this earns the abdominal radiograph to permit confirmation

- CT follows to facilitate a discussion on the causes of pancreatic calcification and the causes of chronic pancreatitis

PlayAdd to Share

Case information

rID: 55405
Case created: 4th Sep 2017
Last edited: 9th Sep 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.