Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice
Introduction: Groove pancreatitis is an uncommon cause of chronic pancreatitis that affects the groove anatomical area between the head of the pancreas, duodenum, and common bile duct. Clinical case: A 67-year-old man with frequent biliary colic and an alcohol consumption of 30–40 g/day was admitted...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2016-05-01
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| Series: | GE: Portuguese Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2341454515001143 |
| _version_ | 1818966870991044608 |
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| author | Marta Gravito-Soares Elisa Gravito-Soares Ana Alves Dário Gomes Nuno Almeida Guilherme Tralhão Carlos Sofia |
| author_facet | Marta Gravito-Soares Elisa Gravito-Soares Ana Alves Dário Gomes Nuno Almeida Guilherme Tralhão Carlos Sofia |
| author_sort | Marta Gravito-Soares |
| collection | DOAJ |
| description | Introduction: Groove pancreatitis is an uncommon cause of chronic pancreatitis that affects the groove anatomical area between the head of the pancreas, duodenum, and common bile duct.
Clinical case: A 67-year-old man with frequent biliary colic and an alcohol consumption of 30–40 g/day was admitted to the hospital complaining of jaundice and pruritus. Laboratory analysis revealed cholestasis and the ultrasound scan showed intra-hepatic biliary ducts dilatation, middle third cystic dilatation of common bile duct, enlarged Wirsung and pancreatic atrophy. The magnetic resonance cholangiopancreatography showed imaging findings compatible with groove pancreatitis. An esophagogastroduodenoscopy later excluded duodenal neoplasia. He was submitted to a Roux-en-Y cholangiojejunostomy because of common bile duct stricture. Five months later a gastrojejunostomy was performed due to a duodenal stricture. The patient remains asymptomatic during follow-up.
Discussion: Groove pancreatitis is a benign cause of obstructive jaundice, whose main differential diagnosis is duodenal or pancreatic neoplasia. When this condition causes duodenal or biliary stricture, surgical treatment can be necessary. |
| first_indexed | 2024-12-20T13:39:47Z |
| format | Article |
| id | doaj.art-f90f54e999e2471ba8619ee4c8ba521e |
| institution | Directory Open Access Journal |
| issn | 2341-4545 |
| language | English |
| last_indexed | 2024-12-20T13:39:47Z |
| publishDate | 2016-05-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | GE: Portuguese Journal of Gastroenterology |
| spelling | doaj.art-f90f54e999e2471ba8619ee4c8ba521e2022-12-21T19:38:50ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452016-05-0123317017410.1016/j.jpge.2015.09.001Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive JaundiceMarta Gravito-Soares0Elisa Gravito-Soares1Ana Alves2Dário Gomes3Nuno Almeida4Guilherme Tralhão5Carlos Sofia6Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalGastroenterology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalGastroenterology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalGastroenterology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalGastroenterology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalSurgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalGastroenterology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, PortugalIntroduction: Groove pancreatitis is an uncommon cause of chronic pancreatitis that affects the groove anatomical area between the head of the pancreas, duodenum, and common bile duct. Clinical case: A 67-year-old man with frequent biliary colic and an alcohol consumption of 30–40 g/day was admitted to the hospital complaining of jaundice and pruritus. Laboratory analysis revealed cholestasis and the ultrasound scan showed intra-hepatic biliary ducts dilatation, middle third cystic dilatation of common bile duct, enlarged Wirsung and pancreatic atrophy. The magnetic resonance cholangiopancreatography showed imaging findings compatible with groove pancreatitis. An esophagogastroduodenoscopy later excluded duodenal neoplasia. He was submitted to a Roux-en-Y cholangiojejunostomy because of common bile duct stricture. Five months later a gastrojejunostomy was performed due to a duodenal stricture. The patient remains asymptomatic during follow-up. Discussion: Groove pancreatitis is a benign cause of obstructive jaundice, whose main differential diagnosis is duodenal or pancreatic neoplasia. When this condition causes duodenal or biliary stricture, surgical treatment can be necessary.http://www.sciencedirect.com/science/article/pii/S2341454515001143CholestasisDuodenal ObstructionObstructive JaundicePancreatitis |
| spellingShingle | Marta Gravito-Soares Elisa Gravito-Soares Ana Alves Dário Gomes Nuno Almeida Guilherme Tralhão Carlos Sofia Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice GE: Portuguese Journal of Gastroenterology Cholestasis Duodenal Obstruction Obstructive Jaundice Pancreatitis |
| title | Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice |
| title_full | Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice |
| title_fullStr | Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice |
| title_full_unstemmed | Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice |
| title_short | Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice |
| title_sort | groove pancreatitis with biliary and duodenal stricture an unusual cause of obstructive jaundice |
| topic | Cholestasis Duodenal Obstruction Obstructive Jaundice Pancreatitis |
| url | http://www.sciencedirect.com/science/article/pii/S2341454515001143 |
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