Abstract：
PURPOSE:Groove pancreatitis is a rare focal form of chronic pancreatitis that occurs in the pancreaticoduodenal groove between the major and minor papillae, duodenum and pancreatic head. Radiologic appearance and clinical presentation can result in suspicion of malignancy rendering pancreaticoduodenectomy inevitable. This study reports dual phase CT findings in a series of 12 patients with pathology proven groove pancreatitis. MATERIALS AND METHODS:Retrospective review of preoperative CT findings in 12 patients with histologically proven groove pancreatitis after pancreaticoduodenectomy. Size, location, attenuation, presence of mass or cystic components in the pancreas, groove and duodenum, calcifications, duodenal stenosis and ductal changes were recorded. Clinical data, laboratory values, endoscopic ultrasonographic and histopathological findings were collected. RESULTS:Soft tissue thickening in the groove was seen in all patients. Pancreatic head, groove and duodenum were all involved in 75% patients. A discrete lesion in the pancreatic head was seen in half of the patients, most of which appeared hypodense on both arterial and venous phases. Cystic changes in pancreatic head were seen in 75% patients. Duodenal involvement was seen in 92% patients including wall thickening and cyst formation. The main pancreatic duct was dilated in 7 patients, with an abrupt cut off in 3 and a smooth tapering stricture in 4. Five patients had evidence of chronic pancreatitis with parenchymal calcifications. CONCLUSION:Presence of mass or soft tissue thickening in the groove with cystic duodenal thickening is highly suggestive of groove pancreatitis. Recognizing common radiological features may help in diagnosis and reduce suspicion of malignancy.
journal_name
Eur J Radioljournal_title
European journal of radiologyauthors
Zaheer A,Haider M,Kawamoto S,Hruban RH,Fishman EKdoi
10.1016/j.ejrad.2014.05.019subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1337-43issue
8eissn
0720-048Xissn
1872-7727pii
S0720-048X(14)00256-3journal_volume
83pub_type
杂志文章abstract：OBJECTIVE:To estimate a frequency of obstetric anal sphincters defects in women after vaginal delivery. METHODS:The study included 102 women, aged from 16 to 40 years (mean age 28.6 years). 28 women had perineal lacerations of 3rd and 4th degree. 22 women had instrumental delivery. Anal endosonography was performed on...
journal_title：European journal of radiology
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journal_title：European journal of radiology
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journal_title：European journal of radiology
pub_type： 杂志文章
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pub_type： 杂志文章,评审
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