[A case of groove pancreatitis with a characteristic pathologic feature].

Abstract

Groove pancreatitis is a rare form of chronic pancreatitis in which scarring is found mainly in the groove between the head of the pancreas, duodenum, and common bile duct. The pathogenesis of groove pancreatitis is still unclear but seems to be caused by the disturbance of pancreatic outflow through Santorini duct. It is often difficult to differentiate preoperatively between groove pancreatitis and pancreatic head carcinoma. Whereas conservative management is effective, some patients with duodenal obstruction may undergo Whipple's operation. A few cases of groove pancreatitis have been reported in Korea, and they were diagnosed only by clinical and radiological features. We experienced a case of groove pancreatitis who needed a surgical management because of severe duodenal obstruction. We report the case with a review of its characteristic pathologic findings.

• Authors: Kwang Hyuk Park, Kyo Sang Yoo, Yong Woo Chung, Kyoung Oh Kim, Cheol Hee Park, Jong Hyeok Kim, Choong Kee Park
• Journal: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi (Korean J Gastroenterol) Vol. 49 Issue 3 Pg. 187-91 (Mar 2007) ISSN: 1598-9992 [Print] Korea (South)
• PMID: 18172349 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Diagnosis, Differential
• Duodenal Obstruction (etiology, surgery)
• Humans
• Magnetic Resonance Imaging
• Male
• Pancreaticoduodenectomy
• Pancreatitis, Chronic (diagnosis, pathology, surgery)
• Tomography, X-Ray Computed