A Rare Etiology of Idiopathic Recurrent Acute Pancreatitis

Question: A 45-year-old Indian female presented with recurrent episodes of acute pancreatitis for seven months. Last episode was one month back. Her clinical examination was unremarkable. There was no history of alcohol or drug intake. Her routine blood tests, ultrasonography abdomen and computerized tomography (abdomen) were normal. She was diagnosed as having idiopathic recurrent acute pancreatitis (IRAP). Radial endoscopic ultrasonography (EUS) was planned for the evaluation of IRAP. A radial EUS revealed the following images (Figures A-D).

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