Groove Pancreatitis: Report of Three Cases with Brief Review of Literature

Ray, Sukanta; Ghatak, Soumya; Misra, Debashis; Dasgupta, Jayanta; Biswas, Jayanta Kumar; Khamrui, Sujan; Bandyopadhyay, Debottam; Ghosh, Ranajoy

doi:10.1007/s12262-017-1643-x

Cited by 16 publications

(21 citation statements)

References 26 publications

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“…The segmental form of GP exhibits a focal hypodense lesion in the pancreatic head in close proximity to the duodenal wall. The MPD may exhibit mild upstream dilatation in the pancreatic body and tail, while in the pure form of the disease the pancreas appears normal (43).…”

Section: Ctmentioning

confidence: 99%

Groove pancreatitis: a challenging imaging diagnosis

Addeo¹,

Beccani²,

Cozzi³

et al. 2019

Gland Surg.

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Groove pancreatitis (GP) is an uncommon form of chronic pancreatitis (CP) involving the space between duodenum, pancreatic head and common bile duct (CBD) known as pancreatic-duodenal groove.Although an association with long-standing ethanol assumption is reported a definite etiology of GP is unknown. Since thickening of the duodenal wall, pancreatic head enlargement, CBD stricture and dilatation of pancreatic duct system are common findings the differential diagnosis with pancreatic head neoplasm by means of imaging can be challenging. However, some imaging findings such as fibrotic changes of the pancreatic groove and presence of duodenal wall cysts may suggest the correct diagnosis. In this paper we review clinical and imaging features of GP with emphasis on computed tomography (CT) and magnetic resonance imaging (MRI) findings.

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Section: Ctmentioning

confidence: 99%

Groove pancreatitis: a challenging imaging diagnosis

Addeo¹,

Beccani²,

Cozzi³

et al. 2019

Gland Surg.

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“…Contrast-enhanced CT scan findings in groove pancreatitis include a hypodense lesion in the groove region, multiple cysts located within a thickened duodenal wall exhibiting post-contrast enhancement, or the involvement of the medial duodenal wall causing luminal obstruction, calcifications, pancreatic duct and common bile duct obstruction, and proximal dilatation [9].…”

Section: Discussionmentioning

confidence: 99%

Groove Pancreatitis: A Case Report and Review of a Hidden Type of Chronic Pancreatitis

Kutty¹,

Chirukandath²,

PJ³

et al. 2022

Cureus

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Groove pancreatitis is a chronic type of segmental or focal pancreatitis seen to affect the groove, which is the region between the head of the pancreas, the duodenum, and the common bile duct. Despite its incidence remaining unknown, it accounts for 2.7% to 24.5% of pancreaticoduodenectomies performed for chronic pancreatitis. A diverse etiology has been implicated but the exact cause is yet to be identified. As it closely mimics pancreatic malignancy and remains mostly undiagnosed preoperatively, many patients often end up undergoing a pancreaticoduodenectomy. Awareness of this entity and early diagnosis will help us address this issue with more conservative measures than by resorting to a morbid procedure such as a pancreaticoduodenectomy.We report a case of a 50-year-old male, a chronic alcoholic, with a two-year history of upper abdominal pain, postprandial vomiting, and weight loss. An abdominal contrast-enhanced computed tomography (CECT) scan was suggestive of either a pancreatic malignancy or a possibility of groove pancreatitis. However, postoperative histopathological examination confirmed the lesser known groove pancreatitis. Here, we review the clinical, radiological, and pathological characteristics of groove pancreatitis, as its diagnosis and management still pose a challenge.

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“…Unfortunately, despite advances in technology and the exhaustive use of imaging techniques, in many cases the diagnosis is made after surgical resection. Thus, the main challenge in this area is preoperative differentiation between benign and malignant disease, especially pancreatic adenocarcinoma [5,7].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature

et al. 2019

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The pancreatoduodenal groove is a small area where pathologic processes involving the distal bile duct, duodenum, pancreatic head, ampulla of Vater, and retroperitoneum converge. Despite great advances in imaging techniques, a definitive preoperative diagnosis is challenging because of the complex anatomy of this area. Therefore, surgical intervention is frequently required because of the inability to completely exclude malignancy. We report 3 cases of patients with different groove pathologies but similar clinical and imaging presentation, and show the essential role of endoscopic ultrasound (EUS) in making a specific preoperative diagnosis, excluding malignancy in the first case, changing diagnosis in the second case, and confirming malignancy in the third case. EUS was a fundamental tool in this cohort of patients, not only because of its ability to provide superior visualization of a difficult anatomical region, but because of the ability to guide precise, real-time procedures, such as fine-needle aspiration.

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Groove Pancreatitis: Report of Three Cases with Brief Review of Literature

Cited by 16 publications

References 26 publications

Groove pancreatitis: a challenging imaging diagnosis

Groove pancreatitis: a challenging imaging diagnosis

Groove Pancreatitis: A Case Report and Review of a Hidden Type of Chronic Pancreatitis

Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature

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