A 19-year-old male from Columbia presented to the emergency department with acute upper abdominal pain radiating to the back. Over the last 3 years, he had experienced several such episodes. He complained of weight loss of 12 kg in the past year and had recently started passing bulky and frothy stools. Investigations revealed elevated lipase (350 units/L) and blood glucose levels (random blood sugar: 280 mg/dL). Abdominal x-ray and CT scan abdomen was performed for further evaluation (Figs. 1A to C).
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