Concluded Case

Calculi within cyst?

21 years old female, no comorbidities Chief Complaints Pain abdomen since 1 month, epigastric, radiating to back, lasting for 3-4 hours, requires analgesics, 3-4 episodes per week, associated with vomiting History Prior h/o bile duct resection with hepaticojejunostomy at 3 years of age (details NA) Investigations Amylase: 500 CBC, LFT, RFT: Normal MRI abdomen is as shown below. Diagnosis What is the diagnosis? Management What should be the management?

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Concluded answer

The patient underwent a EUS which was showing PD draining into the cystic lesion and thus it was an Wirsungocele with an calculi inside. The patient was planned for ERCP with deroofing of Wirsungocele f/b ESWL of the calculi and if unsuccessful then will be planned for surgical resection.

All Answers

The patient underwent a EUS which was showing PD draining into the cystic lesion and thus it was an Wirsungocele with an calculi inside. The patient was planned for ERCP with deroofing of Wirsungocele f/b ESWL of the calculi and if unsuccessful then will be planned for surgical resection.

CHRONIC PANCREATITIS ??? CONSULT WITH GASTROENTEROLOGIST FOR BETTER TREATMENT AND MANAGEMENT.

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