Chen Guangbin, Sha Yanguang, Chen Lifang, Wang Dingbang, Tang Rongmei
Department of Hepatobiliary Surgery, The Second People's Hospital of Wuhu, Wuhu Hospital Affiliated to East China Normal University, Wuhu, CHN.
Graduate School, Wannan Medical College, Wuhu, CHN.
Cureus. 2024 Jun 25;16(6):e63149. doi: 10.7759/cureus.63149. eCollection 2024 Jun.
Paraduodenal pancreatitis (PP), also known as groove pancreatitis (GP), is a rare and distinct variant of chronic pancreatitis and presents significant diagnostic and therapeutic challenges. This comprehensive case study explores a 54-year-old male patient's journey, highlighting the intricate relationship between clinical presentation, diagnostic modalities, and management strategies. Despite a history of smoking and alcohol consumption, the diagnosis of PP was primarily reliant on advanced imaging techniques, including computed tomography and magnetic resonance imaging, which revealed characteristic findings of GP. The case underscores the importance of a high index of suspicion and a step-up approach to management, starting with conservative treatment and progressing to surgical intervention as necessary. This study contributes to the growing body of knowledge on PP, emphasizing the need for awareness and understanding of this rare condition to improve patient outcomes.
十二指肠旁胰腺炎（PP），也称为沟部胰腺炎（GP），是一种罕见且独特的慢性胰腺炎变体，在诊断和治疗上面临重大挑战。本综合病例研究探讨了一名54岁男性患者的病程，突出了临床表现、诊断方法和管理策略之间的复杂关系。尽管该患者有吸烟和饮酒史，但PP的诊断主要依赖于先进的成像技术，包括计算机断层扫描和磁共振成像，这些检查揭示了GP的特征性表现。该病例强调了高度怀疑指数和逐步管理方法的重要性，从保守治疗开始，必要时进展到手术干预。本研究为关于PP的知识体系不断扩充做出了贡献，强调了提高对这种罕见疾病的认识和理解以改善患者预后的必要性。
