Chronic pancreatitis

Case contributed by Dr Ian Bickle


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

Patient Data

Age: 20 years
Gender: Female


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


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


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

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Case information

rID: 55405
Published: 5th Sep 2017
Last edited: 17th Feb 2019
Inclusion in quiz mode: Included

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