Imagine (visualise): A Keralite is running on a MOPED, being followed by a COP arrives at your Surgery OPD
c/f of chronic pancreatitis :MOPED
Malabsorption
Obstructive jaundice
Pain in abdomen
Exploratory laparotomy : incidentally found
Diabetes
Complications :COP
Carcinoma pancreas
Obstructive jaundice
Pseudocyst
Indications for Surgery :OPD
Obstructive jaundice
Persistent pain
Duodenal obstruction
Oh and yes chronic pancreatitis is mor common in Keralites because they eat Tapioca
Interesting fact: obstructive jaundice is due to a head mass in chronic pancreatitis, a frozen section or even a true cut biopsy cannot rule out C.A Pancreas in this region . So panceato-duodenectomy is mandatory even though it is quite unlikely that the mass would be a carcinoma
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