American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2014, 2(12), 298-302
DOI: 10.12691/ajmcr-2-12-10
Open AccessCase Report

Groove Pancreatitis or Pancreatic Neoplasm: A Surgical Dilemmas

Eugenio Morandi1, , Marco Castoldi1, Carlo Corbellini1, Michela Monteleone1, David Alessio Merlini1, Gianandrea Vignati1 and Paolo Declich2

1General Surgery Department, "G. Salvini" Hospital of Rho – Milan, Italy

2Anatomopathological Department, "G. Salvini" Hospital of Rho – Milan, Italy

Pub. Date: December 21, 2014

Cite this paper:
Eugenio Morandi, Marco Castoldi, Carlo Corbellini, Michela Monteleone, David Alessio Merlini, Gianandrea Vignati and Paolo Declich. Groove Pancreatitis or Pancreatic Neoplasm: A Surgical Dilemmas. American Journal of Medical Case Reports. 2014; 2(12):298-302. doi: 10.12691/ajmcr-2-12-10

Abstract

Background: Groove pancreatitis (GP) is a rare condition characterized by inflammatory fibrosis of the space between the dorsal-cranial part of the head of the pancreas, duodenum and common bile duct. Surgery is often the choice of treatment. Case report: A 44-year-old male patient with a history of a high alcoholic intake came with epigastric pain associated with a weight loss. An abdominal ultrasonography, a computer tomography (CT) and a gastro-duodenoscopy showed a mass of the pancreatic head with duodenal infiltration suggesting for adenocarcinoma of the pancreas. An endoscopic ultrasound - fine needle aspiration (EUS-FNA) did not show any sign of chronic inflammation. The patient underwent Whipple procedure. Histologic examination confirmed chronic inflammation in the groove area with a ruptured pancreatic-type cyst and some pseudocysts in depth of the wall. Conclusion: The diagnosis of GP is challenging. Radiological and endoscopic findings and symptoms are often not specific and they could also be present in patients with adenocarcinoma of the pancreas. The pancreaticoduodenectomy is often the choice of treatment when symptoms do not improve or when there is uncertainty over the diagnosis.

Keywords:
pancreatic neoplasm pancreatitis chronic pancreatitis groove pancreatitis

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