CASE 88

History: A 29-year-old man with chronic pancreatitis for 8 years presents with obstructive jaundice.

1. Which of the following should be included in the differential diagnosis of the imaging finding shown in the figures? (Choose all that apply.)

A. Choledochal cyst type 1

B. Chronic pancreatitis stricture

C. Cancer of the pancreatic head

D. Calculus impacted at the ampulla

E. Intraductal papillary mucinous tumor

2. Which of the following statements regarding complications of chronic pancreatitis is true?

A. The cardinal symptom is abdominal pain.

B. Malabsorption occurs early in the course of the disease.

C. Endocrine insufficiency is usually mild, manifesting as non–insulin-dependent diabetes.

D. With chronic pancreatitis, the significant loss of viable active tissue prevents the recurrence of acute pancreatitis.

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