Background : Pancreatolithiases occurs as a sequela to a chronic pancreatitis. It presents most commonly with epigastric pain radiating to the left scapula. This occurs from repeated inflammation, which leads to an irreversible destruction of pancreatic parenchyma and subsequent fibrosis which eventually obstructs the pancreatic ducts.

Methods : There is a relatively lack of data on the appropriate treatment for chronic pancreatitis, which differs between specialties and centers, however surgical intervention remains to be the superior management for patients with pancreatolithiases secondary to chronic pancreatitis.

Results : This report presents a case of a 32 year old male with 1 month history of jaundice, with an imaging of distal common bile duct stricture and pancreatic duct stricture with pancreatoliths on top of chronic pancreatitis.

Conclusions : This case was managed by performing Berne modification procedure which was done in Vicente Sotto Memorial Medical Center for the first time.