Fibrocalculous Pancreatic Diabetes Associated with Multiple Pseudocysts of the Pancreas - A Unique Case Report

Fibrocalculous pancreatic diabetes (FCPD) is an unique nonalcoholic form of chronic pancreatitis seen in tropical countries, characterized by pancreatic calcification in addition to pancreatic chronic inflammation and diabetes. In patients with FCPD, chronic and recurrent bouts of pancreatitis lead to calcifications followed by the development of diabetes. Pancreatic pseudocysts occur in 20%-40% of cases of chronic pancreatitis, and two-thirds of the pseudocysts occur in patients with alcohol related chronic pancreatitis. The association of FCPD with pancreatic pseudocysts is extremely rare. Till date only a single case of case of tropical chronic pancreatitis with giant pseudocyst and glucose intolerance was reported in a 16-year-old woman with cassava consumption. We report a novel case of multiple pseudocysts of the pancreas in a case of FCPD.