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Problem:Editor's Note: The narration and closed captions in this video are in English. For subtitles in 13 other languages, see this video on the website of the World Health Organization The narration and closed captions in this video are in English. For subtitles in 13 other languages, see this video on the website of the 
  
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 Images in Clinical Medicine 
  
 Calcific Pancreatitis Associated with Alcohol Use 
  
 Yub-Raj Sedhai, M.D., and Dhruvan Patel, M.D. 
  
 N Engl J Med 2017; 376:e6February 2, 2017DOI: 10.1056/NEJMicm1602248 ||||| A CT scan showing numerous calcium deposits in the pancreas of a man who drank half a pint of vodka a day for 15 years. Such deposits are often seen in people with chronic pancreatitis. 
  
 A 50-year-old man who drank half a pint (about five shots) of vodka a day for more than a decade developed numerous calcium deposits in his pancreas that made him sick, according to a new report of the case. 
  
 The man went to the emergency room after he suddenly began vomiting blood, according to the report. He told doctors that he'd also experienced abdominal pain and diarrhea for the past two months, and reported his daily habit of vodka drinking, which he said he'd been doing for 15 years. 
  
 A CT scan of the man's abdomen showed that he had extensive calcium deposits in his pancreas, and he was diagnosed with chronic pancreatitis, a condition in which the pancreas is chronically inflamed. 
  
 Although these calcium deposits are often seen in patients with chronic pancreatitis, the degree of calcification seen in this patient is rare, said Dr. Yub Raj Sedhai, an internal medicine resident at Mercy Catholic Medical Center in Darby, Pennsylvania, who treated the patient. [27 Oddest Medical Cases] 
  
 Alcohol abuse over many years is the most common cause of chronic pancreatitis, according to the National Institutes of Health. Alcohol can damage cells in the pancreas, and also stimulate these cells to secrete enzymes that destroy the pancreatic tissue, which leads to inflammation, Sedhai said. 
  
 "Chronic alcohol use leads to a vicious cycle resulting [in] chronic inflammation of [the] pancreas," Sedhai told Live Science. Calcification of the pancreas happens because calcium gets deposited in the inflamed pancreatic tissue, he said. (Calcium is naturally present in the body, including in the blood stream. But even if your calcium blood levels are normal, the mineral can build up at sites where there is tissue damage, according to Harvard Medical School.) 
  
 Because the pancreas makes enzymes that help digest food, people with chronic pancreatitis may be unable to digest food properly, according to the NIH. But replacement pancreatic enzymes are available as prescription and over-the-counter medicines, which can help patients digest food and gain weight, the NIH says. 
  
 In this case, the man received pancreatic enzyme supplements and was enrolled in an alcohol abuse rehabilitation program, according to the report, which is published today (Feb. 1) in the New England Journal of Medicine. 
  
 People with chronic pancreatitis are advised to avoid drinking alcohol because drinking increases the risk for a relapse of symptoms, according to the NIH. 
  
 Original article on Live Science. |||||
Solution:
After drinking a half a pint of vodka every day since he was 35, a 50-year-old man in Pennsylvania went to the emergency room vomiting blood. He complained of abdominal pain and "foul-smelling diarrhea" that had been plaguing him for two months, per a report on his case in the New England Journal of Medicine. He was diagnosed with chronic pancreatitis, which is most often caused by alcoholism and means his pancreas was inflamed. In this case, a CT scan found "extensive calcification of the pancreas," the doctors who treated him report. Live Science explains the mechanism by which this happens: Alcohol spurs pancreatic cells to produce enzymes that destroy and inflame tissue there. The calcium found in your body—even if the level is within a normal range—can accumulate in places where tissue damage has occurred. "Chronic alcohol use leads to a vicious cycle," the internal medicine resident who treated the man at Mercy Catholic Medical Center in Darby, Pa., tells Live Science. Damage to the pancreas can reduce the production of enzymes that aid digestion, but patients can access replacement pancreatic enzymes over-the-counter. This patient received them and "had an uneventful recovery." (This mechanism could help block cravings for alcohol.)