Chronic calcific pancreatitis presenting with stunting and diabetes mellitus

M U Amadife1, D C Muogbo

  • 1Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria.

Insights

A rare case of chronic calcific pancreatitis in a 16-year-old boy led to stunting and diabetes mellitus. This highlights the importance of recognizing pancreatitis in children with chronic abdominal pain and diabetes symptoms.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Gastroenterology

Background:

  • Chronic calcific pancreatitis is uncommon in pediatric populations.
  • Recurrent abdominal pain can be a presenting symptom in children with pancreatic disease.
  • Diabetes mellitus can arise as a complication of chronic pancreatitis.

Observation:

  • A 16-year-old boy presented with weight loss, polydipsia, polyuria, and polyphagia.
  • He had a history of poor growth since age 5 and recurrent abdominal pain for 4 years.
  • Diagnosis was confirmed by low weight/height ratio, elevated fasting blood sugar (233 mg/dl), and pancreatic calcifications on X-ray.

Findings:

  • The patient was diagnosed with chronic calcific pancreatitis with stunting and diabetes mellitus.
  • Diabetes mellitus symptoms prompted medical attention, revealing underlying pancreatitis.
  • The case illustrates the progression from chronic pancreatitis to insulin-dependent diabetes mellitus.

Implications:

  • This case underscores the need for pediatricians to consider chronic pancreatitis in children presenting with chronic abdominal pain and diabetes symptoms.
  • Early diagnosis and management of pediatric pancreatitis are crucial to prevent long-term complications like diabetes.
  • This report adds to the limited literature on chronic calcific pancreatitis in children, emphasizing its rarity and clinical significance.

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