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KMID : 1048120230120030152
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International Journal of Gastrointestinal Intervention
2023 Volume.12 No. 3 p.152 ~ p.154
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Giant solitary pancreatic stone in a chronic pancreatitis patient
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Osman Cagin Buldukoglu
Serkan Ocal
Tugrul Cakir
Ahmet Sukru Alparslan
Ayhan Hilmi Cekin
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Abstract
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Chronic pancreatitis (CP) is a chronic, progressive, inflammatory disease of the pancreas. Pancreatolithiasis is a complication of CP. In this case report, we present a patient with a giant solitary pancreatic stone that necessitated surgery. A 34-year-old patient with CP presented to our outpatient clinic with abdominal pain. Computed tomography revealed near-total atrophy of the pancreatic parenchyma and an 85-mm-long stone within the main pancreatic duct. Due to abdominal pain refractory to medical treatment and the long-term malignancy risk in the near-totally atrophic pancreas, the decision was made to perform surgery based on a multidisciplinary team meeting. Total pancreatectomy was carried out and a 30 × 85 mm pancreatic stone filling the main pancreatic duct was found in the specimen. Intractable pain, local complications of adjacent organs, and suspicion of a malignant lesion are indications for surgery in patients with CP. A case-based clinical approach is necessary for the management of pancreatic stones.
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KEYWORD
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Cholangiopancreatography, endoscopic retrograde, Extracorporeal shockwave lithotripsy, General surgery, Lithiasis, Pancreatitis, chronic
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