Figure 2A, 2B, 2C, 2D. .

Patient 8 is a 66-year-old male with a history of pancreatoduodenectomy for chronic pancreatitis who has had three episodes of pancreatitis, at 26, 32, and 36 months after surgery. One episode followed moving appliances and one followed shoveling dirt. At his last episode workup revealed a lipase of 3,049 and peripancreatic inflammation but not a dilated pancreatic duct. Following resolution of the pancreatitis, the patient was advised to avoid further heavy physical activity. He has had no further episodes for 13 months. Postoperative CT scan shows an atrophic pancreas with no evidence of inflammation or dilation of the pancreatic duct (2A, 2B). CT scan during pancreatitis episode shows peripancreatic inflammation without a dilated pancreatic duct (2C, 2D).