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Calcific Pancreatitis mimicking as Metastasis from Neuroendocrine Tumour

Abhijeet Dharmaji Sawant, Adrianna D'Mello, Namita Deogaonkar and Sudeep R Shah

We present a 44 year old man, a known case of neuroendocrine tumor of periampullary region that underwent Whipple’s procedure. He was asymptomatic for four years postoperatively, following which he complained of loss of appetite, malaise and had significant weight loss. His CT scan of abdomen and pelvis revealed pancreatic duct dilatation and calcific pancreatitis with no sign of disease anywhere else. Hence, calcific pancreatitis can mimic metastasis in an operated case of Whipple’s procedure especially in neuroendocrine tumors which are low grade & slow growing. Calcific pancreatitis is not a known complication of Whipple’s procedure and has not been cited in literature.