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Year :2017
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Month :
September-October
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Volume :
6
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Issue :
4
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Page :
RC13 - RC16
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Groove Pancreatitis – A Mimic of Pancreatic and Periampullary Tumors
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Correspondence Address :
Sivakami R Pradheepkumar, D. Karthikeyan,
Dr. Sivakami R Pradheepkumar,
Sri Manakulavinayagar Medical College and Hospital,
Kalitheerthal Kuppam, Madagadipet,
Puducherry- 605107, India.
E-mail: sivakamijj@yahoo.co.in
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Introduction: Groove Pancreatitis (GP) is a rare form of focal chronic pancreatitis involving the pancreatico-duodenal groove (PDG). GP was first described by Becker in 1973. Though, GP has been described so many years ago, it is still unfamiliar among most physicians because of lack of sufficient case studies and clinical similarity of GP to conventional pancreatitis. Imaging based differentiation of GP from other lesions, like pancreatic and periampullary adenocarcinoma is also not possible in all the cases, unless there are typical findings favoring GP. Since, the line of treatment and outcome is totally different in these two conditions, appreciation of the fine differences between these two entities is very significant. Groove pancreatitis is symptomatically treated with medicines and only for patients with continuous and severe symptoms which are not amenable to medical treatment surgical management is considered. Radiological differentiation of GP from pancreatic and periampullary malignancies will help to avoid unnecessary surgery in the initial stages. We report two cases of GP, one of pure and other of segmental form where we found typical imaging features which pointed to the diagnosis of GP with a small discussion about the Computed tomography (CT) and Magnetic Resonance Imaging (MRI) appearance of this entity as well as its differential diagnosis.
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