3. A 3 year old boy presents with gastric distension and vomiting. What congenital causes are there for this?
4. A 42 year old man with a history of acute pancreatitis presents with epigastric pain. What is the commonest cause of this?
Chronic alcohol abuse.
5. A 31 year old man presents with epigastric pain. What is the key triggering even in acute pancreatitis?
A=activation of trypsin
6. A 78 year old man presents with epigastric pain. Surgical resection shows a small cyst containing clear, straw-coloured fluid. What is this and which syndrome is associated?
Serous cystadenoma - von Hippel-Lindau
7. A 54 year old woman presents with new onset diabetes mellitus. A CT scan shows a lesion in the tail of the pancreas. What is this likely to be?
Mucinous cystic neoplasm.
8. A 42 year old woman presents with epigastric pain. Pancreatic biopsy shows edema, fat necrosis, acute inflammation and interstitial haemorrhage. What is this?
9. A 31 year old man presents with epigastric pain. Pancreatic biopsy shows necrosis involving acinar and ductal tissues. Red-black haemorrhagic areas, diffuse haemorrhage. What is this?
Acute necrotizing pancreatitis.
10. A 79 year old female dies suddenly. Autopsy shows pancreatis has parenchymal fibrosis, reduced number and size of acini, and relative sparing of the islets of Langerhands. There is acinar loss. What is this?
11. A 69 year old man presents with painless jaundice and weight loss. The pancreas head is resected. It shows an ill defined mass with a desmoplastic stroma. What is this?