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CASE REPORT
Year : 2013  |  Volume : 1  |  Issue : 1  |  Page : 14-18

Pancreatic calculi: A case report and review of literature


Department of General Surgery, Goa Medical College, Bambolim, Goa, India

Correspondence Address:
Mervyn Correia
Resicom Elite, Flat C-02, Off Kadamba Depot Road, Alto-Porvorim, Bardez, Goa - 403 521
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.118148

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Pancreatic ductal calculi are rare and most often associated with chronic pancreatitis. Radiological features of chronic pancreatitis are readily evident in the presence of these calculi. We present the case of a 66-year old woman who presented to our emergency department with severe upper abdominal pain and vomiting. She had been having repeated attacks of similar but milder upper abdominal pain, for which she would visit her general practitioner, and be treated for gastritis. This time however the pain was excruciating and accompanied by vomiting. She was a known diabetic for which she was receiving treatment. Both abdominal ultrasound and contrast enhanced computerized tomography scan of the abdomen revealed an atrophic pancreas, and a dilated pancreatic duct filled with an enormous load of calculi. Laparotomy and the Frey procedure which consists of coring out of the pancreatic head and longitudinal pancreaticojejunostomy were done.


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