Korean J Gastroenterol.  2007 Mar;49(3):187-191.

A Case of Groove Pancreatitis with a Characteristic Pathologic Feature

• Park KH
• Yoo KS
• Chung YW
• Kim KO
• Park CH
• Kim JH
• Park CK

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 case 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.

Keyword

Groove pancreatitis

MeSH Terms

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