Pancreatitis del surco (groove) que imita cáncer de páncreas: presentación de un caso y revisión de la literatura

Parga-Bermúdez, Julián Ernesto; Gómez-Zuleta, Martín Alonso

doi:10.22516/25007440.505

Cited by 1 publication

(2 citation statements)

References 35 publications

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“…Jaundice may also occur in some cases [12], as well as diabetes mellitus [13]. Laboratory results reveal a concomitant twofold or threefold increase of amylase and lipase concentration in the serum at the proximal of 80% of the patients, while tumor markers, such as CA19-9 and carcinoembryonic antigen-CEA, are usually within the normal limits [14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…Finally, Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) can reveal smooth tubular stenosis of the common various bile duct with the main pancreatic duct remaining intact. In addition, EUS represents one of the most sensitive methods for detecting pancreaticobiliary lesions and might detect stenosis of the second part of the duodenum, cysts or pseudocysts of the duodenal wall, and masses located in the groove area or the head of the pancreas, while at the same time providing the possibility of taking biopsies with terms of EUS-Fine Needle Aspiration (FNA) [15,16].…”

Section: Discussionmentioning

confidence: 99%

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Surgical Management of Groove Pancreatitis: A Case Report

Ioannidis

Menni

Tzikos

et al. 2023

JPM

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Groove pancreatitis (GP) is a chronic type of pancreatitis involving the groove area between the head of the pancreas, the duodenum, and the common bile duct. Alcohol abuse is one of the main pathogenetic factors, although its etiology is not clearly defined. Differential diagnosis of pancreatic disorders remains difficult. The lack of diagnostic management and the restrictive number of patients are the main barriers. This article presents a case of a 37-year-old male diagnosed with GP after several episodes of epigastric pain and vomiting, with a history of chronic alcohol consumption. The patient’s radiological and laboratory results excluded the possibility of malignancy and suggested the diagnosis of groove pancreatitis with duodenal stenosis. After initial conservative treatment failed, surgical management was decided. A gastroenteroanastomosis was made in order to bypass the duodenum aiming for a total resolution of the symptoms and an uneventful recovery of the patient. Although most studies suggest pancreatoduodenectomy (Whipple’s procedure) as the treatment of choice, a less major procedure can be performed in evidence of malignancy absence.

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