November 12, 2014
Abstract: INTRODUCTION: Groove pancreatitis is a form of chronic pancreatitis affecting the space surrounded by the pancreatic head, duodenum and common bile duct. The clinical findings can conflict with pancreatic cancer causing diagnostic dilemma preoperatively. CASE SERIES: We describe two patients with a history of alcohol excess, who presented with a few months history of upper abdominal pain associated with weight loss and vomiting. Endoscopic and radiological investigations related duodenal narrowing, biliary dilatation and multiple pseudocysts around the head of the pancreas and duodenum. A Whipple’s pancreaticoduodenectomy was carried out in both patients. Histopathology report demonstrated cystic areas in both medial and lateral walls of the duodenum microscopically consistent with groove pancreatitis. CONCLUSION: The diagnosis of groove pancreatitis should be considered in patients with duodenal stenosis and cystic lesions around the head of the pancreas associated with history of alcohol excess. Differentiation from pancreatic cancer is difficult preoperatively.
Notes: Latham, J
Watt, D G
Walsh, S V
Tait, I S
Scott Med J. 2013 Feb;58(1):e28-31. doi: 10.1177/0036933012474610.
Author Address: Department of General Surgery, Ninewells Hospital & Medical School, UK.
Reference Type: Journal Article
Record Number: 5182Author: Layer, P., Dellinger, E. P., Forsmark, C. E., Levy, P., Maravi-Poma, E., Shimosegawa, T., Siriwardena, A. K., Uomo, G., Whitcomb, D. C., Windsor, J. A., Petrov, M. S., Pancreatitis Across Nations Clinical, Research and Education, Alliance
Title: [Determinant-based classification of acute pancreatitis severity. International multidisciplinary classification of acute pancreatitis severity: the 2013 German edition]