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2003 ; 18
(4
): 234-7
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Segmental groove pancreatitis: report of one case
#MMPMID14717232
Hwang JY
; Park KS
; Cho KB
; Hwang JS
; Ahn SH
; Park SK
; Kwon JH
Korean J Intern Med
2003[Dec]; 18
(4
): 234-7
PMID14717232
show ga
Groove pancreatitis is a special form of chronic pancreatitis in which scarring
is found mainly in the groove between the pancreatic head, duodenum, and common
bile duct. Preoperative differentiation between groove pancreatitis and
pancreatic cancer is difficult. Here we report one case of segmental groove
pancreatitis diagnosed by clinical and radiological features. The patient was a
46-year old man with severe abdominal pain, weight loss, and a long history of
alcohol abuse. Computed tomography revealed swelling of the pancreatic head and a
heterogeneously enhanced low-density lesion in the groove. MR images revealed a
mass in the groove that had a low signal on T1-weighted images and a low signal
relative to the pancreatic head on T2-weighted images. T1-weighted images on
dynamic study showed the medial wall thickening of descending duodenum, several
small cysts in the groove and thickened duodenal wall. The patient has been under
conservative treatment for 2 months and his severe abdominal pain has improved.
free
free
free
