Kutty Shweta A, Chirukandath Ravindran, Pj Babu, C Nimisha, A Ancy T
General Surgery, Government Medical College and Hospital, Thrissur, IND.
Research, Government Medical College and Hospital, Thrissur, IND.
Cureus. 2022 Aug 6;14(8):e27738. doi: 10.7759/cureus.27738. eCollection 2022 Aug.
Groove pancreatitis is a chronic type of segmental or focal pancreatitis seen to affect the groove, which is the region between the head of the pancreas, the duodenum, and the common bile duct. Despite its incidence remaining unknown, it accounts for 2.7% to 24.5% of pancreaticoduodenectomies performed for chronic pancreatitis. A diverse etiology has been implicated but the exact cause is yet to be identified. As it closely mimics pancreatic malignancy and remains mostly undiagnosed preoperatively, many patients often end up undergoing a pancreaticoduodenectomy. Awareness of this entity and early diagnosis will help us address this issue with more conservative measures than by resorting to a morbid procedure such as a pancreaticoduodenectomy. We report a case of a 50-year-old male, a chronic alcoholic, with a two-year history of upper abdominal pain, postprandial vomiting, and weight loss. An abdominal contrast-enhanced computed tomography (CECT) scan was suggestive of either a pancreatic malignancy or a possibility of groove pancreatitis. However, postoperative histopathological examination confirmed the lesser known groove pancreatitis. Here, we review the clinical, radiological, and pathological characteristics of groove pancreatitis, as its diagnosis and management still pose a challenge.
沟部胰腺炎是一种慢性节段性或局灶性胰腺炎，可见于胰腺沟部，该区域位于胰头、十二指肠和胆总管之间。尽管其发病率尚不清楚，但在因慢性胰腺炎而进行的胰十二指肠切除术中，它占2.7%至24.5%。病因多样，但确切病因尚未明确。由于它与胰腺恶性肿瘤极为相似，且术前大多无法确诊，许多患者最终接受了胰十二指肠切除术。认识到这种疾病并早期诊断将有助于我们采取比诉诸诸如胰十二指肠切除术这种有害手术更为保守的措施来解决这一问题。我们报告一例50岁男性慢性酒精中毒患者，有两年上腹部疼痛、餐后呕吐和体重减轻的病史。腹部增强计算机断层扫描（CECT）提示可能为胰腺恶性肿瘤或沟部胰腺炎。然而，术后组织病理学检查证实为较罕见的沟部胰腺炎。在此，我们回顾沟部胰腺炎的临床、影像学和病理学特征，因为其诊断和治疗仍然是一个挑战。
