Ito Ryusuke, Shiba Hiroaki, Okamoto Tomoyoshi, Fujioka Shuichi, Gocho Takeshi, Yanaga Katsuhiko
Department of Surgery, Jikei University School of Medicine, Tokyo, Japan.
Case Rep Gastroenterol. 2008 Sep;2(3):405-9. doi: 10.1159/000164310. Epub 2008 Nov 14.
A 61-year-old man was admitted to our hospital with epigastric pain and vomiting. Enhanced abdominal computed tomography revealed inflammatory change of the pancreatic groove and focal wall thickening of the second portion of the duodenum with several cystic lesions around the head of the pancreas. We diagnosed atypical type of groove pancreatitis. The patient made a satisfactory recovery by conservative medication treatment for acute on chronic pancreatitis and cystic lesions disappeared in parallel with pancreatitis. Groove pancreatitis is a rare form of chronic pancreatitis, and to the best of our knowledge, our patient is the first case in the English literature of groove pancreatitis with cystic lesions around the head of the pancreas, which disappeared after conservative treatment for pancreatitis.
一名61岁男性因上腹部疼痛和呕吐入院。腹部增强计算机断层扫描显示胰沟有炎症改变，十二指肠第二部局部肠壁增厚，胰腺头部周围有多个囊性病变。我们诊断为非典型性胰沟炎。通过对慢性胰腺炎急性发作和囊性病变进行保守药物治疗，患者恢复良好，囊性病变与胰腺炎同时消失。胰沟炎是一种罕见的慢性胰腺炎形式，据我们所知，我们的患者是英文文献中首例胰腺头部周围有囊性病变的胰沟炎患者，经胰腺炎保守治疗后囊性病变消失。
