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01.12.2016 | case report | Ausgabe 6/2016

European Surgery 6/2016

The importance of diagnostic awareness of groove pancreatitis

A review of three cases

Zeitschrift:
European Surgery > Ausgabe 6/2016
Autoren:
M.D. Erkan Oymaci, M.D. Serdar Akdoğan, M.D. Nurettin Kahramansoy, M.D. Ahmet Deniz Uçar, M.D. Savaş Yakan, M.D. Ayvaz Ulaş Urgancı, M.D. Özgür Esen Sipahi, M.D. Nazif Erkan, M.D. Mehmet Yildirim

Summary

Background

Groove pancreatitis is a form of focal chronic pancreatitis in the pancreatic tissue between the duodenal wall and the intrapancreatic portion of the common bile duct. Groove pancreatitis, paraduodenal pancreatitis, and duodenal dystrophy are regarded as synonyms by some authors whereas others use the term duodenal dystrophy. We aimed to review this rare entity and discuss its clinical features, diagnosis, and therapy.

Methods

We present a series of three cases of groove pancreatitis diagnosed at a tertiary medical center with a detailed review of the current medical literature.

Results

All patient were treated with conservative medical therapy, which consists of spasmolytic and analgesic therapy as well as antibiotic and enteral nutrition during hospitalization. Endoscopic drainage with endoscopic retrograde cholangiopancreatography (ERCP) was performed for two patients. No complications were observed after the ERCP procedure.

Conclusion

Groove pancreatitis can simulate, mask, or coexist with pancreatic carcinoma and it can be difficult to differentiate from adenocarcinoma. Clinical, radiological, and histological features may be helpful in making the differential diagnosis and should be keep in mind in the differential diagnosis of pancreatic head masses or duodenal wall stenosis.

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