Sonographic Findings in Groove Pancreatitis

Groove pancreatitis is a rare form of chronic pancreatitis involving the anatomic plane between the pancreatic head and duodenum. The radiographic diagnosis remains challenging, and most patients undergo exploratory laparotomy on suspicion of a periampullary malignancy. The appearance of groove panc...

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Bibliographic Details
Published in:Journal of ultrasound in medicine 2011-01, Vol.30 (1), p.111-115
Main Authors: Wronski, Marek, Karkocha, Dominika, Slodkowski, Maciej, Cebulski, Wlodzimierz, Krasnodebski, Ireneusz W.
Format: Article
Language:English
Subjects:
Adult
Aged
chronic pancreatitis
Diagnosis, Differential
Female
groove pancreatitis
Humans
Male
Pancreas - diagnostic imaging
Pancreas - surgery
Pancreaticoduodenectomy
Pancreatitis, Chronic - diagnostic imaging
Pancreatitis, Chronic - surgery
sonography
Tomography, X-Ray Computed
Ultrasonography
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Description
Summary:Groove pancreatitis is a rare form of chronic pancreatitis involving the anatomic plane between the pancreatic head and duodenum. The radiographic diagnosis remains challenging, and most patients undergo exploratory laparotomy on suspicion of a periampullary malignancy. The appearance of groove pancreatitis on transabdominal and intraoperative sonography has rarely been reported in the literature. The sonographic findings in our 2 patients included a hypoechoic thin area between the pancreatic head and duodenum, a hyperechoic and thickened wall of the adjacent duodenum, and a heterogeneous or hyperechoic dorsocranial part of the pancreatic head.
ISSN:0278-4297
1550-9613
DOI:10.7863/jum.2011.30.1.111