Int J Gastrointest Interv.  2023 Jul;12(3):152-154. 10.18528/ijgii230026.

Giant solitary pancreatic stone in a chronic pancreatitis patient

• Buldukoglu OC
• Ocal S
• Cakir T
• Alparslan AS
• Cekin AH

• KMID: 2545066
• DOI: http://doi.org/10.18528/ijgii230026

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.

Keyword

Cholangiopancreatography, endoscopic retrograde; Extracorporeal shockwave lithotripsy; General surgery; Lithiasis; Pancreatitis, chronic