Distal pancreatectomy with splenectomy and Puestow’s lateral pancreaticojejunostomy in chronic pancreatitis

Chronic pancreatitis is a disabling disease that presents as abdominal pain, weight loss and malnutrition secondary to malabsorption of nutrients due to exocrine pancreatic insufficiency (EPI). We present the case of a patient diagnosed with chronic idiopathic calcifying pancreatitis with dilatation of the duct of Wirsung, EPI and segmental portal hypertension secondary to splenic vein thrombosis, who required surgical treatment by distal pancreatectomy, splenectomy, and Puestow’s longitudinal pancreaticojejunostomy. We believe that it may be of interest to learn about the surgical treatment of these patients, in case of failure of endoscopic treatment, as these are uncommon procedures.