I. Overview

Chronic pancreatitis is an inflammatory disease which leads to scarring of the pancreas and irreversible changes. Chronic pancreatitis results in abdominal pain and in some cases result in fatty stools that are large. Calcification is another sign of chronic inflammation. It can develop throughout the pancreas. These calcifications are like stones that are within the tissue itself, or within the pancreatic duct
- Causes :
Chronic pancreatitis alcohol abuse, smoking, abnormalities of the pancreas. Other causes of acute recurrent pancreatitis include high levels of calcium in the blood.
- Symptoms :
Symptoms of chronic pancreatitis include abdominal pain, nausea, vomiting, sometimes weight loss, diarrhoea, and diabetes. Abdominal pain is the most common presenting symptom. The abdominal pain is typically epi-gastric and radiating to the back.

II. Patient Review

- Age : 19 yrs.

- Gender : Male

III. Symptoms

- Recurrent abdominal pain radiating to the back for the last 2 years, was hospitalized almost 20 times in the past.

IV. Tests Performed

- Usg abdomen and pelvis, amylase, lipase, CT scan abdomen and pelvis

V. Diagnosis

- Chonic calcified pancreatitis

VI. Treatment

- Lateral pancreatic jejunostomy with head coring

VII. Detail Description

- 19 year boy had recurrent abdominal pain with radiation to back, multiple hospitalization, evaluation found to have chronic calcified pancreatitis, after through evation underwent open lateral pancreaticojejunostomy with head coring. He had uneventful recovery discharged on day 7.

VIII. Post Treatment Guidelines

- He had done 1 month follow up, absolutely pain free.

IX. Photos