CP patient with Acute Pain Abdomen

A male who is a k/c/o Chronic Calcific Pancreatitis Chief Complaints Pain Abdomen (radiating to back) Fever Physical Examination Tenderness in Epigastrium BS(+) Mild guarding (+)

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Dialated gallbladder and CBD GB stone obstructing cbd Head of pancreas is seen with irregular margins Cholecystitis with cholelithiasis Old c/o pancreatitis R/o malignancy

Adv CT scan and assess complications. Treat accordingly

epigastric hernia?

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