Pancreatic calcifications - chronic pancreatitis

Case contributed by Domenico Nicoletti
Diagnosis certain


History of chronic alcohol pancreatitis (he had been drinking half a pint of vodka a day for 20 years) and type two diabetes

Patient Data

Age: 55 years
Gender: Male

Diffuse and homogeneous calcifications in hypogastrium, in retroperitoneum and in the pancreas site.

Extensive calcification of the pancreas without evidence of pancreatic edema or peripancreatic fluid collection, findings consistent with chronic calcific pancreatitis. 
Slightly dilated the pancreatic duct of Wirsung.

Case Discussion

Chronic alcoholic pancreatitis is a common cause of pancreatic calcifications. CT is the most widely used diagnostic test for chronic pancreatitis, and high-quality images can be obtained of the pancreas and pancreatic duct. Characteristic findings include a dilated pancreatic duct, ductal or parenchymal calcifications, and atrophy. 

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