{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:56:20Z","timestamp":1789419380289,"version":"build-2803163510"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Chronic pancreatitis (CP) is a progressive inflammatory disorder of the pancreas characterized by irreversible fibrosis and intraductal calculi, leading to recurrent abdominal pain and functional impairment. Here, we present the case of a 37-year-old female, 2 months postpartum with a history of gestational diabetes, who presented with 1 month of worsening epigastric pain radiating to the back, aggravated after meals, and associated with nausea and nonbilious vomiting. Laboratory investigations were unremarkable except for mildly elevated HbA1c, while imaging revealed multiple large calculi within the main pancreatic duct, confirming chronic calcific pancreatitis. Conservative management failed to relieve symptoms, necessitating surgical intervention. She underwent lateral pancreaticojejunostomy (Partington\u2013Rochelle procedure) with intraoperative extraction of ductal calculi. Postoperative recovery was uneventful, and at 6-week follow-up, she reported complete resolution of symptoms with improved quality of life. This case emphasizes the importance of timely diagnosis and surgical management in CP with ductal obstruction.<\/jats:p>","DOI":"10.4103\/aam.aam_654_25","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T15:00:19Z","timestamp":1769180419000},"page":"S118-S121","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Management of Chronic Pancreatitis with Pancreatic Duct Calculi"],"prefix":"10.4103","volume":"25","author":[{"given":"Sukriti","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cholleti Raja","family":"Sudhatri","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virendra","family":"Athavale","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya Nagula","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayani","family":"Nithin","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"R1-20260819","doi-asserted-by":"crossref","first-page":"242","DOI":"10.3904\/kjim.2019.051","article-title":"Recent advances in the diagnosis and management of chronic pancreatitis","volume":"34","author":"Kwon","year":"2019","journal-title":"Korean J Intern Med"},{"key":"R3-20260819","doi-asserted-by":"crossref","first-page":"F1000","DOI":"10.12688\/f1000research.12852.1","article-title":"Chronic pancreatitis: Review and update of etiology, risk factors, and management","volume":"7","author":"Pham","year":"2018","journal-title":"F1000Res"},{"key":"R4-20260819","first-page":"e35788","article-title":"Management of pancreatic calculi in chronic pancreatitis: A review article","volume":"15","author":"Kaushik","year":"2023","journal-title":"Cureus"},{"key":"R5-20260819","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4292\/wjgpt.v8.i1.10","article-title":"Pathogenic mechanisms of pancreatitis","volume":"8","author":"Manohar","year":"2017","journal-title":"World J Gastrointest Pharmacol Ther"},{"key":"R6-20260819","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1002\/ueg2.12694","article-title":"Surgical management of chronic pancreatitis: A narrative review","volume":"13","author":"Dankha","year":"2025","journal-title":"United European Gastroenterol J"},{"key":"R7-20260819","doi-asserted-by":"crossref","first-page":"e213","DOI":"10.1038\/ctg.2016.68","article-title":"Endoscopic versus surgical interventions for painful chronic pancreatitis: What is needed for future clinical trials","volume":"8","author":"Windsor","year":"2017","journal-title":"Clin Transl Gastroenterol"},{"key":"R8-20260819","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/S1590-8658(01)80076-1","article-title":"Lateral pancreatojejunostomy in the surgical management of chronic pancreatitis. Current concepts and future perspectives","volume":"33","author":"Sakorafas","year":"2001","journal-title":"Dig Liver Dis"},{"key":"R9-20260819","doi-asserted-by":"crossref","first-page":"108312","DOI":"10.4240\/wjgs.v17.i8.108312","article-title":"Mechanism and treatment of pancreatic duct stones","volume":"17","author":"Wu","year":"2025","journal-title":"World J Gastrointest Surg"},{"key":"R10-20260819","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s12262-011-0374-7","article-title":"Surgery for chronic pancreatitis","volume":"74","author":"Perwaiz","year":"2012","journal-title":"Indian J Surg"},{"key":"R11-20260819","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/S1365-182X(17)30773-6","article-title":"The best operation for chronic pancreatitis","volume":"2","author":"Strate","year":"2000","journal-title":"HPB"},{"key":"R12-20260819","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/0002-9610(63)90014-X","article-title":"Treatment of chronic pancreatitis by longitudinal pancreaticojejunostomy","volume":"106","author":"Silen","year":"1963","journal-title":"Am J Surg"},{"key":"R13-20260819","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.18203\/2349-2902.isj20221155","article-title":"Lateral pancreatico-jejunostomy: A case series","volume":"9","author":"Bhatwal","year":"2022","journal-title":"Int Surg J"},{"key":"R14-20260819","doi-asserted-by":"crossref","first-page":"001","DOI":"10.29328\/journal.ascr.1001043","article-title":"Lateral pancreato-jejunostomy in chronic pancreatitis: An appraisal of 32 cases","volume":"4","author":"Islam","year":"2020","journal-title":"Arch Surg Clin Res"},{"key":"R15-20260819","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1001\/jamasurg.2024.5182","article-title":"Long-term outcomes of early surgery versus endoscopy first in chronic pancreatitis: Follow-up analysis of the ESCAPE randomized clinical trial","volume":"160","author":"van Veldhuisen","year":"2025","journal-title":"JAMA Surg"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_654_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:01:52Z","timestamp":1787140912000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_654_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":14,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_654_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,22]]},"assertion":[{"value":"2025-10-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}