Chronic Calcific Pancreatitis in a 9-Year-Old Boy

Debasish Das,Dev Prosad Paul,Kazi Sohel Iqbal

doi:10.3329/jemc.v2i1.11929

Abstract

Chronic pancreatitis is defined as continuing inflammatory disease of pancreas, characterised by irreversible morphological changes leading to pancreatic insufficiency. Chronic pancreatic insufficiency without pancreatitis is also seen in children suffering from cystic fibrosis which is a disease with congenital enzyme deficiency. Mean age of chronic pancreatitis is about 40 years. We present a case of a 9-year-old boy who was diagnosed as a case of chronic calcific pancreatitis. He was admitted with the complaints of paraumbilical pain and vomiting and was found diabetic. Diagnosis was established by X-ray, USG and CT scan of abdomen and ERCP. He was treated surgically in the form of lateral pancreaticojejunostomy (Puestows procedure). DOI: http://dx.doi.org/10.3329/jemc.v2i1.11929 J Enam Med Col 2012; 2(1): 43-45

Highlights

Chronic pancreatitis is a disease of unknown aetiology, but multiple factors are involved in the aetiopathogenesis of the disease
Chronic pancreatitis is defined as continuing inflammatory diseases of pancreas, characterised by irreversible morphological changes and typically causing pain and/or permanent loss of function
Though exact aetiology of tropical chronic pancreatitis is not known, malnutrition with protein deficiency, cassava toxicity, impaired immune response, viral infection and genetic susceptibility have been considered as various factors in the aetiopathogenesis.[2]

Summary

Introduction

Chronic pancreatitis is a disease of unknown aetiology, but multiple factors are involved in the aetiopathogenesis of the disease. The diagnosis of chronic pancreatitis depends on history, physical examination and some investigations. The patients of chronic pancreatitis are managed by both surgical and medical treatment.

Results

Conclusion