scholarly journals Pancreatitis of the Gastroduodenal Groove: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Vasileios German ◽  
Konstantinos A. Ekmektzoglou ◽  
Nicolaos Kyriakos ◽  
Paraskevas Patouras ◽  
Athanasios Kikilas

Groove pancreatitis, a form of chronic pancreatitis affecting the head of the pancreas, is localized within the groove between the pancreas head, duodenum, and common bile duct. We report a case of a male patient with groove pancreatitis who initially underwent a duodenal preserving gastrenteranastomosis. Unfortunately, the patient's symptoms were only partially controlled, necessitating a pancreaticoduodenectomy in due course as the definite surgical restoration procedure. The surgical approach selected proved inadequate since the patient's symptoms did not resolve over time. This reflects that by-pass operations like these are not indicated for the management of patients with groove pancreatitis.

2009 ◽  
Vol 23 (8) ◽  
pp. 557-559 ◽  
Author(s):  
Jaber A Al Ali ◽  
Henry Chung ◽  
Peter L Munk ◽  
Michael F Byrne

Pancreatic pseudocysts develop in 10% to 20% of patients with chronic pancreatitis, and can cause a variety of complications such as infection, bleeding or development of fistulae. However, fistulous communication with the common bile duct is very rare. The present report describes an unusual case of a patient with a large, symptomatic pancreatic pseudocyst with a fistula to the common bile duct that was treated successfully by combined biliary and pancreatic stenting.


2020 ◽  
Vol 14 (2) ◽  
pp. 306-314
Author(s):  
Elrazi Awadelkarim Hamid Ali ◽  
Ahmed Emad  Mahfouz  ◽  
Akhnuwkh Jones  ◽  
Abdelatif Abdelmola ◽  
Mohamed A. Yassin

Groove pancreatitis is an unusual form of pancreatitis characterized by fibrous inflammation and pseudo-tumor in the area around the head of the pancreas. The underlying etiology is unknown but is strongly linked to alcohol abuse. We report a 52-year-old male smoker with hypertension, asthma, and alcohol abuse who was admitted with severe epigastric pain radiating to the back. He was found to have acute pancreatitis. A computed tomography scan of the abdomen showed a mass lesion in the peri-ampullary region. MRI of the abdomen revealed dilated common bile duct and duodenal mass and features suggestive of groove pancreatitis. During the hospital stay, bilirubin and liver enzymes started to rise and then decreased gradually to the previous normal range. The secondary workup for liver disease was unremarkable. The patient improved and was discharged. Six-month follow-up showed regression of the duodenal lesion and reduction in the common bile duct dilatation. Excluding malignancy remains the main challenge in managing groove pancreatitis, and a conservative approach is more reasonable in cases with a typical profile.


1991 ◽  
Vol 27 (3) ◽  
pp. 383 ◽  
Author(s):  
Young Soo Do ◽  
Hyun Gon Lee ◽  
Ho Seong Han ◽  
Gyung Hyuck Ko ◽  
Jae Hyoung Kim ◽  
...  

2001 ◽  
Vol 344 (6) ◽  
pp. 418-423 ◽  
Author(s):  
Pascal Hammel ◽  
Anne Couvelard ◽  
Dermot O'Toole ◽  
Anne Ratouis ◽  
Alain Sauvanet ◽  
...  

2000 ◽  
Vol 124 (8) ◽  
pp. 1231-1232
Author(s):  
Glenda Amog ◽  
Jeffrey Lichtenstein ◽  
Steven Sieber ◽  
Hani El-Fanek

Abstract This is a case report of ascariasis of the common bile duct in a 65-year-old man from Colombia who had undergone prior cholecystectomy. The patient presented with postprandial epigastric pain and a 20-lb weight loss. The laboratory findings were remarkable for peripheral blood eosinophilia. The ultrasound finding was suggestive of periampullary or pancreatic neoplasm. He underwent endoscopic retrograde cholangiopancreatography with endoscopic extraction of a motile, live worm identified as Ascaris lumbricoides. Roundworm infestation should always be suspected in immigrants from endemic areas who present with hepatobiliary symptoms.


Sign in / Sign up

Export Citation Format

Share Document