Pyogenic liver abscess is a rare presentation of common bile duct stenosis secondary to chronic calcific pancreatitis. Two cases are described in this report; in both cases, biliary obstruction was present in the absence of jaundice. [ncbi.nlm.nih.gov]

Clinical features [Table 1] Presenting symptoms: Of the 55 patients, 38 presented with symptoms of diabetes mellitus viz. polyuria, polydypsia and remaining 17 patients present with abdominal pain. [jpgmonline.com]

• Poor Growth

  The child had poor growth since age of 5 years, during which time he developed recurrent abdominal pain for 4 years. [ncbi.nlm.nih.gov]

• Leg Edema

  A 19-year-old Thai male, who was a regular drinker, presented with massive ascites, back pain and leg edema for four months. On examination there was obvious clinical evidence of an inferior vena cava obstruction. [ncbi.nlm.nih.gov]

• Epigastric Tenderness

  He reported a 2-month history of epigastric pain and foul-smelling diarrhea. He had been drinking half a pint of vodka a day for 15 years. Physical examination revealed epigastric tenderness. [nejm.org]

• Macroglossia

  Our patientpresented with weight loss, anorexia, anemia due to upper gastrointestinal bleeding, macroglossia, periorbital purpura. [medresearch.in]

The workup for secondary causes of autoimmune hemolytic anemia such as SLE was negative. SLE is an autoimmune disease with multiorgan involvement which may involve one or several organ systems and over time additional manifestations may occur. [webmedcentral.com]

• Pancreatic Calcification

  Chronic calcific pancreatitis and pancreatic cancer. Dig. Dis. Sci. 1985; 30: 982 (abstract). Google Scholar 7. Tucker DH, Moore IB. Vanishing pancreatic calcification in chronic pancreatitis. A sign of pancreatic carcinoma. N. Engl. J. [springerlink.com]

  Calcifications: Pancreatic calcifications in the pancreatic duct Calcifications: Pancreatic duct calculus without significant pancreatic duct dilatation Calcifications: Chronic pancreatitis with a calcification in the pancreatic duct and dilatated bile [ultrasoundcases.info]

  A computed tomographic scan of the abdomen showed extensive calcification of the pancreas without evidence of pancreatic edema or peripancreatic fluid collection, findings consistent with chronic calcific pancreatitis. [nejm.org]

  Calcific pancreatitis is a condition with chronic inflammation, scarring and calcification of the pancreas, and stones in the pancreatic duct (1). [journals.lww.com]

  Abstract Twenty three patients with chronic calcific pancreatitis of the tropics in Northern India were prospectively studied. [ncbi.nlm.nih.gov]

• Hyperviscosity

  The hyperviscosity of serum in Waldenstrom's macroglobulinemia may be associated with a viscous pancreatic juice that leads to stone formation. [ncbi.nlm.nih.gov]

[…] did not need insulin before trimethadione treatment. [ncbi.nlm.nih.gov]

In the original treatment group, pain reduction persisted at six months. [empr.com]

Treatment for painful calcified chronic pancreatitis: extracorporeal shock wave lithotripsy versus endoscopic treatment: a randomised controlled trial. Gut 2007;56:545–552PMID : 17047101. 70. Choi EK, McHenry L, Watkins JL, et al. [kjim.org]

But its diagnosis and differentiation from metastatic disease is important as their management and prognosis is different. [omicsonline.org]

To keep learning about pancreatitis: Overview | Causes | Genetics | Symptoms | Diagnosis | Treatment | Auto Islet Transplants | Diet | Prognosis | FAQ [columbiasurgery.org]

Prognosis of abdominal aortic aneurysms: a population-based study. N Engl J Med 1989; 321:1009-1014. ‎ [books.google.de]

The prognosis is good relative to other causes of chronic pancreatitis. [diapedia.org]

Prognosis A number of systems have been developed to help determine the prognosis of an individual with pancreatitis. [medical-dictionary.thefreedictionary.com]

The etiology of villous atrophy could not be established. The pathophysiological significance of this association is discussed. [ncbi.nlm.nih.gov]

Epidemiology Tropical chronic pancreatitis has been reported from many parts of Africa, South America and South-East Asia. Its highest prevalence is in Southern India. [diapedia.org]

An interim report from a prospective epidemiological multicentre study. Scand J Gastroenterol 1981;16:305–312. [karger.com]

"The Epidemiology of Pancreatitis and Pancreatic Cancer". Gastroenterology. 144 (6): 1252–1261. doi : 10.1053/j.gastro.2013.01.068. ISSN 0016-5085. PMC 3662544. PMID 23622135. Further reading [ edit ] Yan, M‐X; Li, Y‐Q (2006-04-01). [en.wikipedia.org]

[…] present diffusely in dilated ducts Micro description: pancreatic ducts with denuded epithelium, squamous metaplasia, periductal lymphoplasmacytic infiltrate, acinar and islets atrophy, fibrosis Infectious pancreatitis: In immunocompromised patients Epidemiology [pathologyoutlines.com]

Epidemiology, natural history, and predictors of disease outcome in acute and chronic pancreatitis. Gastrointest Endosc. 2002;56:S226–S230. 8. [webmedcentral.com]

The pathophysiological significance of this association is discussed. [ncbi.nlm.nih.gov]

Because the pathophysiology of pseudocyst formation is by enzymatic destruction, pathology will not be confined to surrounding anatomical spaces in retroperitoneum [ 4 ]. [npplweb.com]

"Pathophysiology of chronic pancreatitis". World Journal of Gastroenterology. 19 (42): 7231–7240. doi : 10.3748/wjg.v19.i42.7231. ISSN 1007-9327. PMC 3831204. PMID 24259953. ^ "Chronic Pancreatitis. [en.wikipedia.org]

This, coupled with the brisk output of catecholamines, may have prevented the heightened sensitivity to insulin anticipated because of their hypoglucagonemia. [ncbi.nlm.nih.gov]

Abstinence from alcohol and greasy or fried foods is important in helping to prevent malnutrition and pain. [columbiasurgery.org]

The stones block the duct of pancreas and prevent this organ from releasing the enzymes needed for food digestion. [practo.com]

Treatment is, therefore, directed towards preventing attacks, controlling the pain and treating the complications. Preventing symptoms worsening Patients with chronic pancreatitis should avoid alcohol altogether. [netdoctor.co.uk]

Can Pancreatitis Be Prevented? Because most cases of pancreatitis are caused by alcohol abuse, prevention is directed at responsible drinking or no drinking at all. [webmd.com]