Gross calcification of the pancreatic head in adolescence is a rare condition which raises the possibility of hereditary chronic pancreatitis (HCP) even in the absence of a family history [1]. HCP leads to premature autocatalytic activation of trypsinogen to trypsin. This results in imbalance between intra-pancreatic proteases and their inhibitors, progressing to exocrine and endocrine pancreat...

Traumatic pancreaticoduodenal lesions are rare, often involve a challenging management, and have high rates of morbidity and mortality. A 43-year-old male patient committed a suicidal attempt by shooting an arrow with a crossbow into his upper abdomen. He was successfully treated with cautious multidisciplinary approach. Crossbow lesions demonstrate low kinetics. Sharp tips of arrows result in ...

Biliary tract obstruction in a 30-year-old man was found to be caused by a malignant melanoma in the common bile duct. Melanin pigment was demonstrated by immunohistochemistry and electron microscopy. Extensive search for a primary malignant melanoma elsewhere was unsuccessful. No pigmented lesions had been removed previously. There were junctional changes in the mucosa of the common bile duct ...

Introduction:Pancreatic divisum (PD) is a condition that develops if the embryonic fusion of the dorsal and the ventral pancreas buds at the gestational age of 6 weeks is incomplete. The failure of fusion between these two pancreatic ducts results in a short and narrow duct in the head of the pancreas that drains through the major papilla (ventral duct) and a much longer duct that drains most o...

BACKGROUND Chylous cardiac tamponade is a rare condition with little known cause. CASE PRESENTATION A case of an otherwise healthy woman who admitted with dyspnea and palpitations is presented. She had a history of a painful flexion-hyperextension of the spine. Diagnostic evaluation proved a chylous pericardial effusion with a disruption of the anterior longitudinal spinal ligament. Video-ass...

Hydrothorax secondary to a pancreaticopleural fistula (PPF) is a rare complication of acute pancreatitis. In patients with a history of pancreatitis, diagnosis is made by detection of amylase in the pleural exudate. Imaging, particularly magnetic resonance cholangiopancreatography, aids in the detection of pancreatic ductal disruption. Management includes thoracocentesis and pancreatic duct dra...

IntrOductIOn Cholelithiasis is the most common biliary pathology. The incidence of choledocholithiasis in patients with cholelithiasis varies between 5 to 15 percent, out of which 5% are asymptomatic [1]. Although common bile duct (CBD) stones may be silent, the development of complications such as cholangitis and acute pancreatitis is associated with major morbidity and mortality. Therefore, t...

Pancreatic duct stones are found in 22 to 60 per cent of patients with chronic pancreatitis (CP). The stones can lead to obstruction of the outflow of pancreatic secretions causing increased intraductal pressure. 2 The pancreas is relatively noncompliant. Therefore the rise in intraductal pressure can induce tissue hypertension and ischemia. This can be a major factor causing pain in patients w...

Dear Editor, Salivary duct carcinomas (SDC) are primarily high-grade, aggressive malignancies that affect men in the fi fth and sixth decades of life. These tumours are primarily found in the major salivary glands, especially parotid and are rarely from minor salivary glands. If it involves the minor salivary gland, the most common reported sites include the paranasal sinuses and intraoral cavi...

Abstract Background Chyle leak/fistula is a rare complication of oesophageal surgery, usually consequent on an unintended breach the thoracic duct, its tributaries, or cisterna chyli. For high volume persistent leaks further surgery has been traditional approach, however two cases have resulted in new management approach at this Centre. Case Series The first patient, 49-year-old, developed drai...