Case Report

Pencitraan pada pankreolithiasis dengan pankreatitis kronis: laporan kasus

Indira Prawita Martini , Nyoman Srie Laksminingsih, Elysanti Dwi Martadiani

Indira Prawita Martini
PPDS-1 Radiologi Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia. Email: indiraprawitamartani@gmail.com

Nyoman Srie Laksminingsih
Departemen/KSM Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia

Elysanti Dwi Martadiani
Departemen/KSM Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia
Online First: December 01, 2020 | Cite this Article
Martini, I., Laksminingsih, N., Martadiani, E. 2020. Pencitraan pada pankreolithiasis dengan pankreatitis kronis: laporan kasus. Intisari Sains Medis 11(3): 942-947. DOI:10.15562/ism.v11i3.815


Background: Pancreolithiasis or pancreatic calculus is a rare case. Men suffer more than women with a ratio of 2-3:1 and have an incidence of 1-8:100.000. Pancretolithiasis itself is a sequela of chronic pancreatitis. Accompanied by non-specific complaints, epigastric abdominal pain that radiates to the back to the left shoulder and nausea, vomiting which causes weight loss and malnutrition. Radiological examination can help the clinician in. establish a diagnosis where the laboratory results are also not specific enough to diagnose chronic pancreatitis. The aim of this report is to determine the radiological features of pancreolithiasis accompanied by chronic pancreatitis.

Case: A 54-year-old woman with complaints of pain in the epigastric region for approximately 3 months, accompanied by nausea and vomiting, especially after eating which resulted in weight loss of approximately 10 kilograms. In laboratory tests, an increase in total cholesterol, LDH and hyperkalemia was found. There is no increase in amylase and lipase and hepatic function. On plain abdominal radiograph, ultrasound and CT scan, it is found that there is a stone image accompanied by imaging of chronic pancreatitis.

Conclusion: Pancreatic calculus is a rare condition. More common in male gender, patients with pancreolithiasis have non-specific discharge. Alcohol use is said to be the biggest factor in pancreolithiasis. On plain abdominal radiograph, ultrasound and CT scan can reveal the presence of stones in the pancreas and the presence or absence of involvement of the pancreatic parenchyma.

References

Tandan M, Talukdar R, Reddy DN. Management of Pancreatic Calculi: An Update. Gut Liver. 2016;10(6):873-880. doi:10.5009/gnl15555

Busireddy KK, AlObaidy M, Ramalho M, et al. Pancreatitis-imaging approach. World J Gastrointest Pathophysiol. 2014;5(3):252-270. doi:10.4291/wjgp.v5.i3.252

Massimo T. Lithiasis of main pancreatic duct in idiopathic chronic pancreatitis. Eurorad. 2017;1484:1-17.

Harger HB. Gastrointestinal diseases, Clinical Imaging (Third Edition). New York: Mc-Graw-Hill Inc. 2012; p: 1308

Herring W. Learning radiology 2nd edition. Elsevier Saunders: Philladelphia. 2011; p: 128.

Knipe H. Chronic Pancreatitis. Radiopaedia. Available at : https://radiopaedia.org/cases/acute-on-chronic-pancreatitis-3.

Pham A, Forsmark C. Chronic pancreatitis: review and update of etiology, risk factors, and management. F1000Res. 2018;7:F1000 Faculty Rev-607. Published 2018 May 17. doi:10.12688/f1000research.12852.1


No Supplementary Material available for this article.
Article Views      : 118
PDF Downloads : 81