Open AccessChronic pancreatitis with ductal stones in the pancreatic head treated by surgery: a case report
Author(s) -
Alberto Meyer,
Andreas Johann Molnar Koszka,
Phillipe Abreu,
Raphaella Ferreira,
Marcelo Callado Fantauzzi,
Vanderlei Segatelli,
André Ibrahim David
Publication year - 2020
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/rjaa352
Subject(s) - medicine , pancreatitis , endoscopic retrograde cholangiopancreatography , pancreatic duct , pancreas , pancreaticoduodenectomy , abdominal pain , pancreatic disease , head of pancreas , surgery , lesion , general surgery , gastroenterology , radiology
Pancreatic duct stones are direct sequelae of chronic pancreatitis (CP) and can occur in ∼50% of patients. Selection of the appropriate treatment method for pancreatic duct stones depends on location, size and number of stones. We present a patient with upper abdominal pain and weight loss for the previous 3 months. Diagnostic workup detected a chronic inflammation of the pancreas with stone in the main pancreatic duct and a nodular lesion in the head of the pancreas. Endoscopic retrograde cholangiopancreatography was performed without success. Given the rise in incidence and prevalence of CP, the potential complications and high mortality rate, it is imperative that physicians understand the risk factors, disease process and management of this disease. Pancreaticoduodenectomy in patients with CP is a feasible option for the treatment of focal cystic lesions to the head of the pancreas associated to pancreatic stone in selected cases.