Chronic pancreatitis post abdominal trauma leading to pancreatic duct strictures

This patient was a 20 year old gentleman who had suffered blunt abdominal trauma during motorcycle accident. He developed a pancreatic abscess which was managed conservatively. Over the past one year he had repeated episodes of pancreatitis. His MRCP showed two pancreatic duct strictures at the junction of head and body and in the body (A: White arrows). The same were seen during contrast injection during ERCP (B: Black arrows). We did a pancreatic papillotomy (C: Black arrow), following which the pancreatic duct was dilated along its length using an 8mm x 30 mm biliary stricture dilatation balloon (D1 -D3: Black arrows). A stent assembly was then placed into the pancreatic duct (E: Black arrows). A 7 French plastic stent of 10 cm length was then placed (F: Black arrows).