[A case of groove pancreatitis with a characteristic pathologic feature].
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 cases 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.
Park
Kwang Hyuk
KH
Department of Internal Medicine, Hallym University College of Medicine, Sacred Heart Hospital, 896 Pyeongchon-dong, Dongan-gu, Anyang, Korea.
Yoo
Kyo Sang
KS
Chung
Yong Woo
YW
Kim
Kyoung Oh
KO
Park
Cheol Hee
CH
Kim
Jong Hyeok
JH
Park
Choong Kee
CK
D000328:Adult; D003937:Diagnosis, Differential; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016577:Pancreaticoduodenectomy; D050500:Pancreatitis, Chronic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed