Introduction

Chronic pancreatitis is a progressive inflammatory disease characterized by irreversible morphological changes in the pancreatic parenchyma and ductal system, resulting in exocrine and endocrine dysfunction. Pancreatic calcification is one of the most common structural changes and represents an important diagnostic feature of chronic pancreatitis [1,2].

It usually develops over several years through repeated pancreatic inflammation, eventually resulting in irreversible fibrosis and calcification. However, extensive calcification developing within only three years after an episode of acute pancreatitis is uncommon.

Alcohol consumption and smoking are major risk factors for chronic pancreatitis and may contribute to progressive pancreatic calcification even in young adults [3,4].

Few reports have described the development of extensive diffuse pancreatic calcifications within a relatively short period after acute pancreatitis, especially after no calcifications were detected on the initial computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) images. We report a case of extensive calcific chronic pancreatitis that was incidentally detected during urological evaluation using kidneys, ureters, and bladder (KUB) radiography and CT in a 34-year-old man.