PMC6776981_01
(a, b) Abdominal CT showing pancreatic duct stones in the body of pancreas with multiple high density calcifications in the head of pancreas. Red arrow: stones and pancreatic head calcification (a); pancreatic duct stones (b). CT, computed topography.
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He underwent an abdominal computed topography (CT; Fig. 1a, b) that showed pancreatic duct stones in the body of pancreas and multiple high density calcifications in the head of pancreas; contour of the pancreas was unclear.
Magnetic resonance cholangiopancreatography showing a dilated main pancreatic duct of 6 mm (red arrow).
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Magnetic resonance cholangiopancreatography (Fig. 2) showed a 6 mm dilated main pancreatic duct (MPD).
(a, b) Endoscopic ultrasound showing low pancreatic echoes, the internal echoes were uniform. Pancreatic duct in the head and neck of the pancreas showed multiple stone shadows (yellow arrow: pancreatic stones; red arrow: parenchyma calcification; and blue arrow: pancreatic duct).
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An endoscopic ultrasound (EUS; Fig. 3a, b) revealed low pancreatic echoes with uniform internal echoes.
(a) The cored out pancreatic head and distal pancreatic dichotomy in the Frey procedure. (b) Reconstruction of the single side to side Roux-en-Y pancreaticojejunostomy. White arrow: cored out pancreatic head (a); Roux-en-Y pancreaticojejunostomy (b).
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On April 9, 2019, the patient underwent a Frey's procedure (lateral [longitudinal] pancreaticojejunostomy or LPJ; Fig. 4a, b).
PMC6776981_02
Seventh month follow-up. Abdominal CT showing parenchyma calcification. Red arrow: pancreatic calcification.
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On the 7th month follow-up (May 23, 2016), abdominal CT (Fig. 5) revealed chronic pancreatitis.
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