A Case of Chronic Pancreatitis with Stones may Present with Obstructive Jaundice and Diabetes: A Case Report

Authors

  • Hriday Ranjan Roy Department of Surgery, Rangpur Medical College, Rangpur, Bangladesh

Abstract

 

Obstructive jaundice in chronic pancreatitis is generally caused by stenosis of the bile duct in the pancreas. Obstructive jaundice caused by the impaction of a pancreatic stone in the papilla is very uncommon. We report a case of obstructive jaundice caused by the impaction of pancreatic stones in the papilla. A 43 year-old male with chronic pancreatitis was admitted because of epigastric pain with diabetes mellitus. Ultrasonography revealed a strong echo with acoustic shadows (stones) with complex heterogonous echogenic mass in the region of the pancreas. Removal of stones and a pancreatico-jejunostomy was done. His jaundice was corrected and became well controlled blood sugar level without any drug. Impaction of a pancreatic stone in the papilla is a markedly rare cause of obstructive jaundice in chronic pancreatitis. A correct decision taken pre-operatively may be needed for perfect management in our setting of limited investigation facilities.

 

Keywords: Calculi, jaundice, obstructive pancreatitis, chronic, pancreatico-jejunostomy

 

Cite this Article:

Hriday Ranjan Roy. A Case of chronic pancreatitis with stones may present with obstructive jaundice and diabetes–A case report. Research & Reviews: Journal of Surgery. 2015; 4(1): 1–4p.

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Published

2019-04-15

Issue

Vol. 4 No. 1 (2015)

Section

Case Study

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