First report of small cell lung cancer with PTHrP-induced hypercalcemic pancreatitis causing disconnected duct syndrome

Figure 3 Endoscopic retrograde cholangiopancreatography performed during July 2016 admission. Image displays failure of contrast dye to define pancreatic duct and failure of guidewire to cannulate pancreatic duct. Guidewire continues to be diverted to common bile duct which provides evidence of pancreatic duct obstruction.