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Chronic calcific pancreatitis is a result of chronic inflammation of the pancreas which results in irreversible damage. There are two varieties of chronic calcific pancreatitis (CCP) which is 1. Alcoholic calcific pancreatitis, 2. Tropical calcific pancreatitis, Alcoholic calcific pancreatitis is invariably related to the consumption of alcohol. CCP is a special form of chronic pancreatitis that tends to calcify and is associated with pancreatic lithiasis. Pancreatic lithiasis refers to true calculi in the duct system of the pancreas. Calculi can be due to calcification of the parenchyma. The term tropical calcific pancreatitis refers to the disease which occurs in children and young adults. In contrastACP is commonly seen in adults, in developing countries of the sub-tropics. In India, TCP is commonly seen in Kerala and Tamil Nadu. In the study conducted by Pipali DH et al1, chronic calcific pancreatitis in Western Maharashtra, the mean age of presentation of TCP was 32, and the peak age of presentation among males is 31 to 35, and among females is 16 to 20 years. There was a predominance of males, with a male to female ratio of about 4:1. The patients usually present with symptoms of abdominal pain, steatorrhoea and diabetes. When diabetes is present the condition is called fibrocalcinous pancreatic diabetes. The cause of TCP remains obscure, however susceptibility mutations in the gene encoding serene protease inhibitor Kazal Type-1 (SPINK1) has been identified. METHODS: We did a retrospective analysis of 25 proven cases of chronic calcific pancreatitis, of which 21 turned out to be of alcoholic etiology, 4 cases showed radiological features of tropical calcific pancreatitis. The study was conducted in the Department of Radio diagnosis Sree Gokulam College, Trivandrum, for a period of two years, from January 2012, to December 2013. The patients were referred mainly from the departments of Gastroenterology, and gastro surgery, with clinical features and history corresponding to CCP. RESULTS: The retrospective analysis over a two year period of patients diagnosed as chronic calcific pancreatitis showed that 18 cases were of alcoholic etiology and 6 cases had features of tropical calcific pancreatitis ACP was exclusively seen in male patients, and the TCP group had 2 male and 4 female patients, of which 3 cases had mass lesions which on biopsy were proven to be adenocarcinoma. CONCLUSION: The predominant feature of alcoholic calcific pancreatitis is that small and speckled calculi with mild dilatation of the ducts are seen. Also it is almost exclusive in males in the fourth and fifth decades. The main feature of TCP is that there will be marked fatty replacement of the gland with significant duct dilation and large, dense calculi. Our conclusions also were corroborated with the study by Chari Set al2.

CT EVALUATION OF CHRONIC ALCOHOLIC PANCREATITIS VERSUS TROPICAL PANCREATITIS