Abstract
A 43-year-old male patient was brought to the hospital emergency room because of severe abdominal pain and repeated vomiting for the previous 4 days. Similar episodes had occurred before, and medical history was remarkable in terms of long-term alcohol abuse. Laboratory tests showed serum potassium 2.52 mEq/L, sodium 123.1 mEq/L, ionized calcium 3.48 mg/dL, serum creatinine 8.22 mg/dL, urea 148.4 mg/dL, glucose 165.7 mg/dL and increased pancreatic enzymes (total amylase 176.4 U/L). computerized tomography images of abdomen (Figures 1A and 1B, curvilinear and 3D reconstructions) showed gross changes of pancreas tissue including multiple diffuse calcifications of the head, body and tail of pancreas, and simultaneous calcification (formation of stones) in pancreatic duct.
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