Volume : X, Issue : IV, April - 2020

Groove pancreatitis - a case report of a mimic of pancreatic cancer

Ranganath R, Megha Uppin

Abstract :

Groove pancreatitis is a rare form of chronic pancreatitis and involves the tissue bound by the duodenum, pancreatic head and the common bile duct [1], which is referred to as the groove. Initially described by Potet and Duclert as cystic dystrophy of the duodenal wall [2] and by Becker as Rinnenpankreatitis [3], it was given the name groove pancreatitis by Stolte et al [4]. Adsay and Zamboni [5] proposed a common term paraduodenal pancreatitis to encompass a variety of conditions including periampullary duodenal wall cysts, groove pancreatitis, pancreatic hamartoma of the duodenal wall and myoadenomatosis , as the pathologic features of all these conditions overlap. Groove pancreatitis has been classified into two categories – the pure form involving only the groove and the segmental form with involvement of the pancreatic head causing stenosis of the pancreatic duct. It has been associated with chronic alcoholic intake and usually presents with abdominal pain, weight loss and an ill defined mass in the periampullary region on radiology. Though a few reports of conservative management have been published, including endoscopic dilatation of the accessory pancreatic duct, most patients undergo a pancreaticoduodenectomy, mostly to rule out malignancy. Obstructive jaundice as a presenting symptom is extremely rare. We report the case of a 42 year old male, who presented with abdominal pain, weight loss and anorexia and a mass in the pancreatic head and discuss the management of groove pancreatitis in this patient, with a review of the available literature. Groove pancreatitis is a clinical and radiologic mimic of pancreatic malignancy, and has to be kept in mind when the patient’s symptoms and signs are not definitive for malignancy.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

GROOVE PANCREATITIS - A CASE REPORT OF A MIMIC OF PANCREATIC CANCER, Ranganath R, Megha Uppin INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-4 | April-2020

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