Groove pancreatitis: a brief review of a diagnostic challenge.

Abstract:

:Groove pancreatitis is an uncommon, yet well-described, type of focal chronic pancreatitis, affecting "the groove"-the area between the head of the pancreas, the duodenum, and the common bile duct. Men aged 40 to 50 years are most commonly affected, with a history of alcohol abuse frequently disclosed. Clinical manifestations are similar to other forms of chronic pancreatitis, and vomiting secondary to duodenal stenosis is the main feature. It is postulated that pancreatitis in the groove area arises from obstruction of pancreatic juices in the ductal system, causing fibrosis and stasis with resultant inflammation of surrounding structures. The minor papilla is frequently the anatomic area of preferential involvement. Groove pancreatitis poses diagnostic challenges, forming a "pseudotumor" that mimics pancreatic carcinoma. The distinction is important, although often impossible to make because of their similar presentation, with groove pancreatitis usually affecting younger patients. Most patients are successfully treated with pancreaticoduodenectomy when definitive pathologic diagnoses can be made.

journal_name

Arch Pathol Lab Med

authors

DeSouza K,Nodit L

doi

10.5858/arpa.2013-0597-RS

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

417-21

issue

3

eissn

0003-9985

issn

1543-2165

journal_volume

139

pub_type

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