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Groove pancreatitis: rare case

Authors: Nilesh Kate; Paarthipan N; Chandrika Gurulingappa Teli; Venkateswaran A
Int J Biol Med Res. 2012; 3(4): 2642-2644  |  PDF File

Abstract

Groove pancreatitis is a rare type of segmental pancreatitis characterized by fibrous scars of the anatomic space between the dorsocranial part of the head of the pancreas, the duodenum, and the common bile duct. We present, 39 Yr old man, chronic alcoholic & cigarette smoker for the past 15 years, presented with pain over the right lumbar region, radiating to the back & groin, intermittent vomiting and a weight loss of 5 kg. CT abdomen revealed mild bulky head and uncinate process of pancreas with surrounding peripancreatic and mesenteric fat stranding causing misty appearance. Fluid collection in the pancreaticoduodenal groove, right perinephric, anterior para renal space and right para colic gutter. Mild to moderate ascites in the pelvis was seen. Mild constriction and narrowing of the duodenum was noted, findings suggestive of groove pancreatitis.Patient responded well conservative medical management with analgesics, proton pump inhibitors and a pancreatic enzyme supplement.