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Groove Pancreatitis with Several Cystic Lesions around the Pancreatic Head Treated Conservatively: Report of a Case
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Abdominal enhanced CT revealed inflammatory change of the pancreatic groove (arrows) and focal wall thickening of the second portion of the duodenum with several cystic lesions (arrowheads).
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Figure 1: Abdominal enhanced CT revealed inflammatory change of the pancreatic groove (arrows) and focal wall thickening of the second portion of the duodenum with several cystic lesions (arrowheads).

Mentions: A 61-year-old man was urgently admitted to our hospital with severe epigastric pain and vomiting. The patient had a history of chronic pancreatitis from alcohol abuse and early gastric cancer treated four years earlier by segmental gastrectomy. Laboratory data were as follows: white blood cell count 16,200/mm3 with 74% neutrophils, serum amylase 298 IU/l, and serum C-reactive protein 9.5 mg/dl. Abdominal enhanced computed tomography (CT) revealed inflammatory change of the pancreatic groove (fig. 1, arrows) and focal wall thickening of the second portion of the duodenum with several cystic lesions around the head of the pancreas (fig. 1, arrowheads). Magnetic resonance cholangiopancreatography revealed a defect in the main pancreatic duct of the head and mild dilatation and irregularity of the distal pancreatic duct, which suggested protein plug. The biliary tree did not show abnormality. Upper gastrointestinal endoscopy revealed stenosis of the supraampullary area of the duodenum and erosive change of duodenal mucosa. Histological examination by endoscopic biopsy revealed inflammatory change of the duodenal mucosa without malignant findings. The patient was diagnosed with acute on chronic, atypical type of groove pancreatitis with duodenal wall thickening and several cystic lesions around the head of the pancreas.

Groove Pancreatitis with Several Cystic Lesions around the Pancreatic Head Treated Conservatively: Report of a Case
Abdominal enhanced CT revealed inflammatory change of the pancreatic groove (arrows) and focal wall thickening of the second portion of the duodenum with several cystic lesions (arrowheads).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?pmc=3166802&rFormat=json&query=null&req=5

Figure 1: Abdominal enhanced CT revealed inflammatory change of the pancreatic groove (arrows) and focal wall thickening of the second portion of the duodenum with several cystic lesions (arrowheads).
Mentions: A 61-year-old man was urgently admitted to our hospital with severe epigastric pain and vomiting. The patient had a history of chronic pancreatitis from alcohol abuse and early gastric cancer treated four years earlier by segmental gastrectomy. Laboratory data were as follows: white blood cell count 16,200/mm3 with 74% neutrophils, serum amylase 298 IU/l, and serum C-reactive protein 9.5 mg/dl. Abdominal enhanced computed tomography (CT) revealed inflammatory change of the pancreatic groove (fig. 1, arrows) and focal wall thickening of the second portion of the duodenum with several cystic lesions around the head of the pancreas (fig. 1, arrowheads). Magnetic resonance cholangiopancreatography revealed a defect in the main pancreatic duct of the head and mild dilatation and irregularity of the distal pancreatic duct, which suggested protein plug. The biliary tree did not show abnormality. Upper gastrointestinal endoscopy revealed stenosis of the supraampullary area of the duodenum and erosive change of duodenal mucosa. Histological examination by endoscopic biopsy revealed inflammatory change of the duodenal mucosa without malignant findings. The patient was diagnosed with acute on chronic, atypical type of groove pancreatitis with duodenal wall thickening and several cystic lesions around the head of the pancreas.

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