case_images: PMC6776981_01
case_images: (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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case_images: 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.
case_images: Magnetic resonance cholangiopancreatography showing a dilated main pancreatic duct of 6 mm (red arrow).
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case_images: Magnetic resonance cholangiopancreatography (Fig. 2) showed a 6 mm dilated main pancreatic duct (MPD).
case_images: (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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case_images: An endoscopic ultrasound (EUS; Fig. 3a, b) revealed low pancreatic echoes with uniform internal echoes.
case_images: (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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case_images: On April 9, 2019, the patient underwent a Frey's procedure (lateral [longitudinal] pancreaticojejunostomy or LPJ; Fig. 4a, b).
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case_images: Seventh month follow-up. Abdominal CT showing parenchyma calcification. Red arrow: pancreatic calcification.
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case_images: On the 7th month follow-up (May 23, 2016), abdominal CT (Fig. 5) revealed chronic pancreatitis.
case_images: PMC6776981_03