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Severe gastritis and chronic calcific pancreatitis

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Abdominal pain. History of pancreatic divisum with chronic calcific pancreatitis.

Patient Data

Age: 60 years
Gender: Male

Severe low-attenuation submucosal thickening of the lower gastric body, antrum, and pylorus. Associated hyperemia of the gastric mucosa.

Common bile duct stent. Chronic calcific pancreatitis with dilatation of the pancreatic duct and multiple bulky intraluminal calcifications. No peripancreatic inflammation or fluid collections.

Case Discussion

Low-attenuation some mucosal thickening of the gastric wall is characteristic for severe gastritis or peptic ulcer disease. This may have been a reactive finding from subacute pancreatitis. This finding resolves on subsequent scanning and the patient did not undergo further intervention.

Companion case. 

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