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Published on: December 14, 2019
Groove pancreatitis presenting with upper gastrointestinal obstruction and abnormal renal function: A case report and
Xiaoyuan Fan1, Chihong Shi1, Dewen Lu1
1Department of Gastroenterology, The Affiliated People's Hospital of Ningbo University, Ningbo, Zhejiang 315000, P.R. China.
Abstract:
Groove pancreatitis (GP) is a rare type of chronic pancreatitis characterized by fibrotic lesions localized to the groove between the pancreatic head, duodenum, and common bile duct. We present a case of a 59-year-old male alcoholic with vomiting and renal dysfunction found to have duodenal obstruction and low-density pancreatic head lesions on computed tomography concerning for GP. The patient underwent pancreaticoduodenectomy and pathology confirmed the diagnosis postoperatively. The patient recovered well without complications or relapse at follow-up. Although rare, GP should be included in the differential for pancreatic head masses in middle-aged alcoholics and surgical resection may be necessary for symptom relief and exclusion of malignancy.
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