Presentation
Chronic abdominal pain. Symptoms of pancreatic exocrine deficiency ie malabsorption. Chronic alcoholic.
Patient Data
Age: 62
Gender: Male
From the case:
Chronic pancreatitis
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Gross dilatation of the pancreatic duct (and gland atrophy) with subtle filling defect in the duct at the head extending into the accessory duct draining the uncinate process - easily seen as calcification on CT but not that apparent on MRI. Calcification is actually calculi in the duct causing obstruction (thus failure of exocrine pancreatic function)
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Non-contrast CT has been preformed to detect calcification, which are presence in abundance.
Case Discussion
Features typical of chronic pancreatitis with duct calculi on CT and MRI
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