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Previous Volume 330:1671-1676 June 9, 1994 Number 23 Next

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Presentation of Case

A 37-year-old man was admitted to the hospital because of a pancreatic-duct lesion and several bouts of acute pancreatitis.

The patient had been in excellent health until 2 1/2 years earlier, when acute pancreatitis developed, with severe abdominal pain, vomiting, and watery diarrhea. A second attack occurred two years later. Both episodes required admission to a hospital for several days.

Five months before admission, an endoscopic retrograde cholangiopancreatographic examination (Figure 1), performed elsewhere, showed two small nodular filling defects in the pancreatic duct near the ampulla of Vater; the main pancreatic duct upstream of the defects and its . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. David W. Rattner's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References

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