Pancreatic carcinoma in fibrocalcific pancreatic diabetes: An eastern India perspective
PB, 46-year-old lady with fibrocalcific pancreatic diabetes for last 25 years, on multiple subcutaneous insulin injections (MSII), was detected to have a pancreatic tail mass on USG abdomen done as a part of evaluation for severe pain abdomen, vomiting, weight loss, and worsened glycemic control for last 3 months. CT abdomen revealed dilated main pancreatic duct with multiple calculi, and a mass in the tail of pancreas (46 mm × 34 mm × 31 mm) encasing the celiac plexus, superior mesenteric artery, infiltrating the splenic hilum and splenic flexure of colon []. CA19-9 was 179.65 U/L (normal <40 U/L). The mass was considered inoperable. Patient refused chemotherapy. Patient was discharged after hemodynamic stabilization with analgesic coverage.