Giant solitary pancreatic stone in a chronic pancreatitis patient
International Journal of Gastrointestinal Intervention, vol.12, no.3, pp.152-154, 2023 (ESCI, Scopus)
- Publication Type: Article / Article
- Volume: 12 Issue: 3
- Publication Date: 2023
- Doi Number: 10.18528/ijgii230026
- Journal Name: International Journal of Gastrointestinal Intervention
- Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
- Page Numbers: pp.152-154
- Keywords: Cholangiopancreatography, endoscopic retrograde, Extracorporeal shockwave lithotripsy, General surgery, Lithiasis, Pancreatitis, chronic
- Open Archive Collection: AVESIS Open Access Collection
- Akdeniz University Affiliated: No
Abstract
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.