A 54-year-old post-menopausal woman presented for a routine check-up. She had a medical history of endometriosis that had been confirmed by laparoscopy. She had undergone surgery about seven years ago, followed by hormonal therapy. Laboratory test report: Hemoglobin: 14 gm/dl Leukocyte count: 8,200/mm Platelet count: 3,44,000/mm Serum amylase level: 198 IU/L (normal 30-110) Serum lipase increased to 1461 IU/L (normal 27-280) All other test results were normal. A deep screening was done for pancreatic alterations.
Serological tests for hepatitis and HIV viruses were negative. Investigations were done for tumor markers and autoimmune diseases, but all were normal. MRI scanning of the abdomen, bladder, and bile duct was performed (Cover image). The patient was a non-smoker and non-alcoholic and showed no signs of weight loss or diarrhea. In addition, there was no history of pancreatic…
