Abstract
We report a case of groove pancreatitis (GP) associated with a true pancreatic cyst. An 81-year-old man who had suffered epigastric pain for 4 months was referred to Saisekai Kure Hospital. Computed tomography and endoscopic retrograde pancreatography showed a cystic lesion in the groove area of the pancreas. Serum amylase elevation and imaging findings suggested GP due to the cyst. Six weeks of medical treatment did not improve the clinical symptoms. Therefore, pancreatoduodenectomy was performed. Histologic examination revealed a true cyst with intraluminal necrosis, which produced a protein plug that obstructed the Santorini duct. The parenchyma surrounding the groove area showed marked fibrosis and inflammatory cell infiltration. GP due to true pancreatic cyst was diagnosed. Although GP is usually caused by overconsumption of alcohol, which leads to changes in the pancreatic juice and the ultimate blockage of pancreatic outflow, the histologic features in our patient suggest that true pancreatic cyst stands as a secondary cause of GP.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
M Stole W Weiss H Volkholz W Rosch (1982) ArticleTitleA special type of segmental pancreatitis: “groove pancreatitis” Hepatogastroenterology 29 198–208
V Becker U Mischke (1991) ArticleTitleGroove pancreatitis Int J Pancreatol 10 173–82 Occurrence Handle1787332 Occurrence Handle1:STN:280:By2C2MnmsFQ%3D
T Gabata M Kadoya N Terayama J Sanada S Kobayashi O Matsui (2003) ArticleTitleGroove pancreatic carcinomas: radiological and pathological findings Eur Radiol 13 1679–84 Occurrence Handle12835985 Occurrence Handle10.1007/s00330-002-1743-1
Y Sanada M Tanada S Takashima (2004) ArticleTitleA case of pancreas carcinoma accompanied by groove pancreatitis (in Japanese) Suizo (Jpn J Pancreatol) 19 68–74
E Naoum A Zavos K Goudis C Sarros E Pitsargiotis M Karamouti et al. (2003) ArticleTitlePancreatic pseudocysts: 10 years of experience J Hepatobiliary Pancreat Surg 10 373–6 Occurrence Handle14598138 Occurrence Handle10.1007/s00534-002-0828-1
T Mayumi T Takada Y Kawarada K Hirata M Yoshida M Sakimoto et al. (2006) ArticleTitleManagement strategy for acute pancreatitis in the JPN guidelines J Hepatobiliary Pancreat Surg 13 61–7 Occurrence Handle16463213 Occurrence Handle10.1007/s00534-005-1053-5
D Chatelain E Vibert T Yzet G Geslin E Bartoli D Manaouil et al. (2005) ArticleTitleGroove pancreatitis and pancreatic heterotopia in the minor duodenal papilla Pancreas 30 92–5 Occurrence Handle10.1097/01.mpa.0000161885.79373.1d
R Shudo T Obara S Tanno T Fujii N Nishino M Sagawa et al. (1998) ArticleTitleSegmental groove pancreatitis accompanied by protein plugs in Santorini's duct J Gastroenterol 33 289–94 Occurrence Handle9605965 Occurrence Handle10.1007/s005350050086 Occurrence Handle1:STN:280:DyaK1c3mslSjsA%3D%3D
Author information
Authors and Affiliations
About this article
Cite this article
Sanada, Y., Yoshida, K., Itoh, H. et al. Groove pancreatitis associated with true pancreatic cyst. J Hepatobiliary Pancreat Surg 14, 401–409 (2007). https://doi.org/10.1007/s00534-006-1180-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00534-006-1180-7