case_images: PMC6167024_01
case_images: Diagram of the initial modified Puestow procedure.
case_images: fig-1.jpg
case_images: PMC6167024_01_fig-1.jpg
case_images: f1
case_images: Eight years later in 1992, the patient underwent a distal pancreatectomy, splenectomy, and cholecystectomy with modified Puestow procedure for symptoms of radiating epigastric pain, nausea, and vomiting typically lasting for 1 week and occurring three to four times per year (Fig. 1).
case_images: Computed tomography image showing two substantial calcifications in the pancreatic remnant and their measured size. Note the absence of the spleen in the left upper quadrant.
case_images: fig-2.jpg
case_images: PMC6167024_01_fig-2.jpg
case_images: f2
case_images: On computed tomography scan, significant calcification in the right-sided pancreatic remnant was present (Fig. 2).
case_images: Diagram of the completion pancreaticoduodenectomy procedure. DJ, duodenojejunostomy; HJ, hepaticojejunostomy, JJ, jejunojejunostomy.
case_images: fig-3.jpg
case_images: PMC6167024_01_fig-3.jpg
case_images: f3
case_images: Trietz (Fig. 3).