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A 55-year-old man with a long history of recurrent alcohol-induced chronic pancreatitis was admitted to our hospital with new onset dyspnoea, epigastric and thoracic pain, and nausea. Clinical examination was in addition to pressure pain and resistance in the epigastrium normal. Laboratory results showed an elevation of inflammation markers (C-reactive protein, 9 mg/dl) and elevated liver (γ-glutamyl transferase, 324 U/l; alkaline phosphatase, 308 U/l) and pancreatic enzymes (amylase, 181 U/l; lipase, 93 U/l).
A computed tomography scan of the abdomen and thorax was performed (figs 1–3).
Robin Spiller, Editor
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.