Ismail Imen Ben, Zenaidi Hakim, Yahmadi Abdelwahed, Rebii Saber, Zoghlami Ayoub
Department of general surgery, Trauma and Burns Center, Ben Arous, Tunisia.
Pan Afr Med J. 2020 Jun 16;36:99. doi: 10.11604/pamj.2020.36.99.21873. eCollection 2020.
Groove pancreatitis (GP) is a rare form of chronic pancreatitis involving the groove area bound by the pancreatic head, the duodenum, and the common bile duct. The diagnosis of this entity is challenging since it can mimic pancreatic carcinoma. We herein report the case of groove pancreatitis diagnosed in a 37 year old men, with a past history of chronic alcohol consumption. The patient was admitted for several times over the past three years because of recurrent alcohol-induced pancreatitis. The diagnosis of groove pancreatitis was made on the basis of CT, MRI and EUS findings. A medical treatment was initially attempted. In the absence of improvement in clinical symptoms, a pancreatico-duodenectomy was performed with satisfying results at 24 months follow up. Pancreatico-duodenectomy is the treatment of choice in groove pancreatitis since it leads to total resolution of clinical symptoms.
沟部胰腺炎（GP）是一种罕见的慢性胰腺炎形式，累及由胰头、十二指肠和胆总管所界定的沟部区域。该疾病的诊断具有挑战性，因为它可能酷似胰腺癌。我们在此报告一例在一名37岁男性中诊断出的沟部胰腺炎病例，该患者有长期酗酒史。在过去三年里，该患者因复发性酒精性胰腺炎多次入院。沟部胰腺炎的诊断基于CT、MRI和超声内镜检查结果。最初尝试了药物治疗。由于临床症状未改善，遂进行了胰十二指肠切除术，术后24个月随访结果令人满意。胰十二指肠切除术是沟部胰腺炎的首选治疗方法，因为它能使临床症状完全缓解。
