Possible Causes for pancreatic calcification Chronic Alcoholism Unlike recurrent acute pancreatitis, chronic pancreatitis is characterised by reduced pancreatic exocrine function, malabsorption, diabetes, and pancreatic calcifications. [bestpractice.bmj.com] Worldwide, alcohol is the major risk factor for chronic pancreatitis (70% to 80%). [bestpractice.bmj.com] Pancreatic Abscess A diagnosis of chronic calcific pancreatitis with a left perinephric abscess was made and a gastroenterological opinion was sought. [pancreas.imedpub.com] […] stone (calculus), pancreatolith 膵石灰化 pancreatic calcification 膵線維化 pancreatic fibrosis 花筵状線維化 storiform fibrosis 膵内胆管浸潤 intrapancreatic bile duct invasion 膵嚢胞 pancreatic [jsge.or.jp] During the operation dense calcification was noted in the parieties and dense adhesion of the omentum was noted with the colon and stomach parieties and thick pus was drained [jgid.org] Chronic Pancreatitis […] to marked ductal lesions, endocrine and exocrine insufficiency, pancreatic calcifications, and pancreatic pseudocysts. [ncbi.nlm.nih.gov] A 64-year-old man with recurrent acute pancreatitis was diagnosed as early CP and later progressed to definite CP with multiple pancreatic calcifications at the age of 69. [ncbi.nlm.nih.gov] Calcification is unusual. The pancreatic duct is invariably dilated. [learningradiology.com] Acute Pancreatitis Table 3 Imaging in acute pancreatitis Modality Pertinent findings Abdominal X-ray Ileus, loss of psoas shadow, sentinel loop, pancreatic calcification, and calcified gallstones [academic.oup.com] calcification, and pleural effusion (usually on the left). [27] It is noteworthy that the abdominal plain film can be completely normal in patients with acute pancreatitis [emedicine.com] Additionally, evidence of nephrolithiasis can sometimes be seen as well as foreign bodies or the telltale pancreatic calcifications of chronic pancreatitis. [clinicaladvisor.com] Hereditary Pancreatitis We demonstrate that pancreatic duct abnormalities, not previously described, are present prior to the appearance of the typical pancreatic calcifications of HP. [ncbi.nlm.nih.gov] In subjects with R122C mutation symptoms, pancreatic calcifications, main pancreatic duct changes, diabetes, steatorrhea, pancreatic cancer and surgery were recorded. [ncbi.nlm.nih.gov] During the ensuing years she had recurrent episodes of abdominal pain and chronic pancreatitis with extensive pancreatic calcifications was finally demonstrated. [ncbi.nlm.nih.gov] Pancreatic Ductal Stone [Crossref] Choi EK, Lehman GA (2012) Update on endoscopic management of main pancreatic duct stones in chronic calcific pancreatitis. Korean J Intern Med 27: 20-29. [oatext.com] Pancreatic calcifications are pathognomonic for severe CP and are located exclusively in the ductal system. [emedicine.medscape.com] [Crossref] Guda NM, Partington S, Freeman ML (2005) Extracorporeal shock wave lithotripsy in the management of chronic calcific pancreatitis: a meta-analysis. [oatext.com] Pancreatic Adenocarcinoma Differential diagnoses Disease Characteristics Notes Chronic pancreatitis Classic triad of pancreatic calcification, steatorrhea, and diabetes mellitus is observed in one-third [clinicaladvisor.com] The presence and distribution of pancreatic intraductal calcifications (defined as areas of hyperattenuation on nonenhanced images) were recorded. [synapse.koreamed.org] Are pancreatic calcifications specific for the diagnosis of chronic pancreatitis? A multidetector-row CT analysis. Clin Radiol. 2009; 64 :903–911. [ PubMed ] 70. [ncbi.nlm.nih.gov] Pancreatic Pseudocyst Few calcifications noted in pancreatic parenchyma. [npplweb.com] We present a very rare case of infeasibility of endoscopic drainage of a postinflammatory pancreatic pseudocyst, impressing the stomach, due to cyst wall calcifications. [ncbi.nlm.nih.gov] Because there was no evidence of pancreatic calcification on CT and the ERCP did not show any ductal irregularities, we assume pseudocyst formation occurred as a complication [ncbi.nlm.nih.gov] Cystic Fibrosis pancreatitis. [nejm.org] Conclusions Mutations of the CF TR gene and the 5T genotype are associated with chronic pancreatitis. [nejm.org] Introduction In 1969, Paris et al. 1 described two siblings who had the autosomal recessive disease cystic fibrosis and whose father and paternal uncle and grandfather had chronic calcific [nejm.org] Primary Hyperparathyroidism gallstones Moans from CNS disturbance: Depression, lethargy, seizures Also weakness, fatigue, calcifications of aortic and mitral valves; metastatic calcification in stomach [pathologyoutlines.com] […] lipase activity stimulated by Ca 2 CNS dysfunction anxiety, confusion, coma result of metastatic calcification of the brain Please rate topic. [medbullets.com] Long-standing hypercalcaemia causes corneal calcification, which is usually asymptomatic. [patient.info] Tropical Pancreatitis TCP differs from alcoholic pancreatitis by a much younger age of onset, pancreatic calcification, a high incidence of insulin dependent but ketosis resistant diabetes mellitus [uniprot.org] Entry H00932 Disease Name Tropical calcific pancreatitis Description Tropical calcific pancreatitis (TCP) is a subtype of chronic pancreatitis unique to developing countries [genome.jp] and an exceptionally high incidence of pancreatic cancer. [uniprot.org] Pancreatic Atrophy It was not associated with gender, other organ involvement, pattern of pancreas swelling (diffuse/focal), serum IgG4 level, alcohol intake, and pancreatic calcification on [ncbi.nlm.nih.gov] CT Signs of Chronic Pancreatitis Fluid collections (pseudocyst) Duct dilatation and strictures Granular pancreatic calcifications Pseudocyst with pancreatic calcification [med-ed.virginia.edu] Calcification is unusual. The pancreatic duct is invariably dilated. [learningradiology.com] Islet Cell Tumor Pancreatic calcifications in malignant islet cell tumors. Radiology. 1977;122(2):333–7. [PubMed] [Google Scholar] 15. Stark DD, Moss AA, Goldberg HI, Deveney CW. [ncbi.nlm.nih.gov] Pancreatic neuroendocrine tumors: Radiographic calcifications correlate with grade and metastasis. [journals.plos.org] calcifications in the distal pancreatic parenchyma. [ispub.com] Retroperitoneal Hemorrhage We encountered complications of septic shock and retroperitoneal hemorrhage which occurred after implantation of a retrievable Günther Tulip filter. A 79-year-old woman was diagnosed as right femoral vein thrombosis, and a retrievable Günther Tulip filter was deployed prior to a total knee replacement surgery.[…] [ncbi.nlm.nih.gov] Pancreatic Disease Also, tropical pancreatitis, seen predominantly in South India and Africa, can lead to early onset diabetes and pancreatic calcifications and is associated with a probable [clinicaladvisor.com] Simple investigations used to diagnose chronic pancreatitis include: an abdominal X-ray (which can show calcifications in the pancreas) stools collected and analyzed for high [ddc.musc.edu] History Part 3: Competing diagnoses that can mimic Pancreatic Cancer. [clinicaladvisor.com] Pancreatic Ascites The diagnosis was suspected by the presence of pancreatic calcifications and confirmed by an elevated ascitic fluid amylase and protein content. [ncbi.nlm.nih.gov] The etiology of chronic calcific pancreatitis in this case might be alcoholic abuse and/or nutritional tropical pancreatitis. [ncbi.nlm.nih.gov] The management approach of pancreatic ascites in tropical calcific pancreatitis is infrequently reported owing to the low incidence of this condition. [ncbi.nlm.nih.gov] Retroperitoneal Hematoma Spontaneous retroperitoneal hematoma (SRH) is a rare, potentially lethal entity that can arise from a variety of etiologies. We present a case of SRH secondary to hemorrhage from the right inferior adrenal artery in a 22-year-old woman. The patient presented to the emergency room with significant right flank[…] [ncbi.nlm.nih.gov] Kwashiorkor Two infants with a florid erythematous rash and generalised oedema, hypoalbuminaemia, and anaemia were found to have cystic fibrosis. This rare presentation is associated with false negative sweat tests, delays in diagnosis, and a considerable mortality. It is proposed that this presentation represents a[…] [ncbi.nlm.nih.gov] Pancreatic Duct Obstruction Abstract Forty-seven patients with calcific pancreatitis were submitted to ERCP, 24 of whom were designated 'painless' and 23 'painful', according to whether or not pain had [ncbi.nlm.nih.gov] Contrast-enhanced computed tomography of the upper abdomen showing (A) pancreatic calcifications (arrow) with fluid and edema around the pancreas; and (B) pancreatic calcifications [aafp.org] […] stone (calculus), pancreatolith 膵石灰化 pancreatic calcification 膵線維化 pancreatic fibrosis 花筵状線維化 storiform fibrosis 膵内胆管浸潤 intrapancreatic bile duct invasion 膵嚢胞 pancreatic [jsge.or.jp] Hyperlipoproteinemia Type 5 Ring EJ, Eaton SB, Ferrucci JT, Short WF: Differential diagnosis of pancreatic calcification. [link.springer.com] "Calcific pancreatitis in a patient with type 5 hyperlipoproteinemia". Gastrointestinal Radiology. 4 (1): 143–146. doi : 10.1007/BF01887513. ISSN 0364-2356. [wikidoc.org] Key words Calcific pancreatitis Chronic pancreatitis Pancreatitis and hyperlipoproteinemia This is a preview of subscription content, log in to check access. [link.springer.com] Pancreatitis […] are visible in acquired types 4 CT CT features of chronic pancreatitis include: dilatation of the main pancreatic duct pancreatic calcification changes in pancreatic size [radiopaedia.org] The diagnosis is based on pancreatic calcifications, ductal dilatation, and atrophy visualized by imaging with computed tomography, magnetic resonance imaging, or both. [jamanetwork.com] Chronic Pancreatitis Symptoms Symptoms of chronic pancreatitis include: Abdominal pain Weight loss Bulky, fatty or oily stools Pancreatic calcifications (small, hardened calcium [uclahealth.org] Pancreatoblastoma Enhancement of the internal septa and cyst wall typically delayed Pancreatic pseudocyst Tail and body May be calcified peripherally Anechoic or hypoechoic, pancreatic calcifications [ncbi.nlm.nih.gov] Pancreatic adenocarcinoma is seen in older patients, it is often small in size at the time of diagnosis and very rarely exhibit necrosis, hemorrhage or calcifications [ 11 [ncbi.nlm.nih.gov] […] duct dilatation (IPMN) Hypodense uni- or multilocular, peripheral calcification (cystadenoma) pancreatic duct dilatation (IPMN) metastasis (mucinous adenoCa) High SI on T2 [ncbi.nlm.nih.gov] Insulin Resistance Fibrocalculous pancreatopathy may be accompanied by abdominal pain radiating to the back and pancreatic calcifications identified on X-ray examination. [dx.doi.org] Pancreatic fibrosis and calcium stones in the exocrine ducts have been found at autopsy. [dx.doi.org] Tracheal Calcification Hepatic calcification Intervertebral disk calcification Intraalveolar nodular calcifications Laryngeal calcification Neoplasm of the trachea Pancreatic calcification Periarticular [rgd.mcw.edu] Cartilaginous trachea Cerebellar calcifications Cerebral calcification Chondrocalcinosis Diverticulosis of trachea Epiphyseal stippling Gingival calcification Gonadal calcification [rgd.mcw.edu] Adrenal calcification Anomalous tracheal cartilage Calcific stippling Calcification of cartilage Calcification of muscles Calcification of ribs Calcinosis cutis Cardiovascular calcification [rgd.mcw.edu] Biliary Peritonitis Such an unusual presentation of chronic calcific pancreatitis is herein reported. [ncbi.nlm.nih.gov] She had a long common-biliary channel and pancreas divisum with chronic calcific pancreatitis involving the pancreatic head and neck. [ncbi.nlm.nih.gov] calcification膵石灰化 pancreatic cyst (cyst of pancreas)膵嚢胞 pancreatic duct cell carcinoma膵管癌 pancreatic functioning diagnostant (PFD) test (BT-PABA test, bentiromide test)PFD [tokyo-med.ac.jp] Pancreatic Insufficiency […] those with pancreatic calcifications. [ncbi.nlm.nih.gov] Pancreatic calcifications may be seen on plain x-rays or cross-sectional imaging. [clinicaladvisor.com] In clinical practice, high‐risk patient populations include those with severe necrotizing pancreatitis, gastrointestinal and pancreatic surgery, cancer of pancreas head, and [doi.org] Endocrine Dysfunction Imoto, M & DiMagno, EP ( 2000 ) Cigarette smoking increases the risk of pancreatic calcification in late-onset but not early-onset idiopathic chronic pancreatitis. [cambridge.org] calcification or evidence of exocrine pancreas dysfunction. [jmnn.org] Kaur, N, Gupta, S & Minocha, VR ( 1996 ) Chronic calcific pancreatitis associated with osteomalacia and secondary hyperparathyroidism. [cambridge.org] Diabetic Enteropathy The absence of pancreatic calcifications and normal fecal fat excretion excluded chronic pancreatitis. [elsevier.es] Abdominal X-rays were normal, with no pathological calcifications in the pancreatic area. [elsevier.es] "Celiac disease and tropical calcific pancreatitis". Am. J. Gastroenterol. 88 (10): 1790–2. PMID 8213729. Lahat E, Broide E, Leshem M, Evans S, Scapa E (2000). [en.wikipedia.org] Glucagonoma Pancreatic NETs and other pancreatic tumors are known to show calcifications within the tumor but calcification of the remaining normal pancreas is very uncommon. [ncbi.nlm.nih.gov] A speck of calcification was seen within the mass. CT scan showed soft tissue mass in the head of the pancreas with dilatation of the pancreatic duct. [ijdvl.com] It occurs when there is ductal obstruction leading to acute or chronic pancreatitis. We present a case of glucagonoma with coexistent pancreatic calcification. [ncbi.nlm.nih.gov] Cholelithiasis […] secretions-NPO/NG tube -Controld F&Es-Lactated Ringer's -Antibiotics A continuous, prolonged, inflammatory, and fibrosing process of the pancreas -Stricures and calcifications [quizlet.com] […] occur in the pancreas Symptoms of chronic pancreatitis -Abdominal pain not relieved by food/antacids -Weight loss, constipation, jaundice, dark urine Why is medication give [quizlet.com] […] problems Serum amylase and Lipase being elevated CC for patient with Pancreatitis includes -Pain relief-Morphine -Prevent shock-Monitor albumin levels (Dopamine) -Reduce pancreatic [quizlet.com]
