While an autosomal dominant inheritance pattern is the most common form of inheritance, another method of inheritance is in an autosomal recessive fashion whereby 2 mutated parental genes are needed for the phenotypic manifestation (e.g., CFTR gene and SPINK1).4 The autosomal recessive inheritance is a perplex pattern requiring environmental factors and genetic mutation or a mix of individual mutated genes.4 In the absence of known mutations, trauma, alcohol consumption, drug intake, infection, or metabolic disorders, it can be referred as idiopathic chronic pancreatitis.5 The gene discussed is SPINK1; the disease is metabolic disease.