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A Case Report of Pancreatic Stone Developed during Long Follow-up of Chronic Pancreatitis F. Chin 1 , N. Den 1 , M. Ryu 1 , K. Okuyama 1 , R. Hayashi 1 1Department of Surgery, Naruto Hospital pp.991-994
Published Date 1978/7/25
DOI https://doi.org/10.11477/mf.1403107393
  • Abstract
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 The mechanism of formation of the pancreatic stone is not fully understood. It has been generally accepted that the pancreatic stone occurs as a sequela of chronic pancreatitis. However, how long a time is required for the formation of a pancreatic stone can not be definitely stated. Recently, we experienced a case of pancreatic stone during long follow-up of chronic pancreatitis and it is reported here.

 The patient, a 28-year-old man, began to suffer from epigastralgia since the age of 20. He had a long history of heavy drinking since the age of 15. He had been first admitted to our hospital in 1974 because of epigastralgia and nausea. Chronic pancreatitis was diagnosed by pancreozymin-secretin test and endoscopic pancreatic-cholangiography. Owing to continued drinking, the pain got no relief despite medical treatment. As a method of follow-up, we took plain films of the abdomen periodically and pancreatic stones were diagnosed about three years after the diagnosis of chronic pancreatitis. On admission in 1977, P-S test showed decrease of total volume, maximal concentration of HCO3- and amylase output. ERCP demonstrated the stones within the dilated pancreatic duct. The patient had underwent surgical intervention on account of intractable pain. The postoperative course was smooth.


Copyright © 1978, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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