Introduction. Currently, no definitive radiologic or pathologic features have been established to permit diagnosis of PP without surgical resection. Holländer S, Birk D (2018) Pancreatic cancer within the uncinate process. Groove pancreatitis is a segmental chronic pancreatitis that affects the anatomical area between the pancreatic head, the duodenum, and the common bile duct, referred to as the groove area. 35 CECT features include sheet-like soft tissue in the . Groove pancreatitis is an umbrella term and actually encompasses a wide spectrum of disease subsets, including cystic dystrophy of the duodenal wall, heterotopic pancreas, paraduodenal cyst, and myoadenomatosis ( 2 ). Groove pancreatitis is another entity of chronic pancreatitis that involves the head of the pancreas near the pancreaticoduodenal groove and results in duodenal obstruction. Groove pancreatitis is a rare form of segmental chronic pancreatitis. The groove area or pancreaticoduodenal groove involves the space between the duodenum, the head of the pancreas and the common bile duct - Twitter thread from Enrique de-Madaria @DeMadaria - Rattibha 3:1) with a mean age of 50 years, and 60% had a preoperative diagnosis of cancer. CASE REPORT:A 58-year-old male was incidentally diagnosed as groove pancreatitis, and his pancreatitis was successfully treated by conservative management. Mean lesional size was 3.1 cm. Journal of computer assisted tomography. Punctate intraductal calcifications chronic pancreatitis alcoholic pancreatitis 20-40 2 intraductal numerous small irregular preponderant cause of diffuse pancreatic intraducta. Cyst formation is common (A3). Groove pancreatitis is another entity of chronic pancreatitis that involves the head of the pancreas near the pancreaticoduodenal groove and results in duodenal obstruction. pancreatitis (including groove and autoimmune pancreatitis). Groove pancreatitis, a rare form of chronic pancreatitis affecting the "groove" between the superior aspect of the pancreatic head, the duodenum, and the common bile duct, was first described by Becker in 1973 [] and has remained a diagnostic dilemma for radiologists, pathologists, and clinicians since its first description [2, 3].Groove pancreatitis is an extraordinarily rare form of . 1, Supl., pp. Acute necrotizing pancreatitis. Groove pancreatitis: a clinical and imaging overview. Groove pancreatitis: a challenging imaging diagnosis. Few tiny dystrophic cysts may also be found in the medial wall of the duodenum, as in our case. . Note the air-fluid level within the gall bladder Chronic pancreatitis is a cause of abdominal pain that may occur as sequelae of multiple factors, including biliary stone disease, alcohol consumption, malignancy, metabolic disorders, and various genetic and environmental insults, including trauma ().Paraduodenal pancreatitis (PDP), also known as groove pancreatitis (2,3), is a specific type of focal pancreatitis centered in the . 34 The diagnosis is usually made on CECT, but it can often be difficult to distinguish it from a malignancy. Groove pancreatitis, a rare form of chronic pancreatitis affecting the "groove" between the superior aspect of the pancreatic head, the duodenum, and the common bile duct, was first described by Becker in 1973 [] and has remained a diagnostic dilemma for radiologists, pathologists, and clinicians since its first description [2, 3].Groove pancreatitis is an extraordinarily rare form of . The abdominopelvic multiphase CT scan showed a mass between duodenum and pancreas, with mild contrast uptake and no dilatation of biliar ducts or pancreatic duct. Many radiologists remain unfamiliar with this entity, with only a few descriptions of it existing in the radiology and pathology literature. Solid-tumoral (type-1) with groove-predominant (type-1A, 36%) forming a distinct solid band between the duodenum and pancreas often with histologic microabscesses (69% vs. 33% in others), and pancreas-involving (type-1B, 19% . Two forms of groove pancreatitis have been described: the segmental form, which involves the groove and the pancreatic head; and the pure form, which affects the . Gastrointestinal Radiology Radiology Case. Eur Radiol (2003) 13:1679-1684 DOI 10.1007/s00330-002-1743-1 HEPAT OBILIAR Y-PANCREAS Toshifumi Gabata Groove pancreatic carcinomas: radiological Masumi Kadoya and pathological findings Noboru Terayama Junichiro Sanada Satoshi Kobayashi Osamu Matsui Abstract The aim of this study was the main pancreatic duct was seen in Received: 8 April 2002 to clarify the characteristics of pan . Groove pancreatitis is a special form of chronic pancreatitis in which scarring is found mainly in the groove between the pancreatic head, duodenum, and common bile duct. In 1982, Stolte et al coined the term groove pancreatitis Its normal reported value ranges between 1-35 mm 58. Groove pancreatitis is a form of chronic segmental pancreatitis affecting the pancreaticoduodenal groove. The PD groove is a potential space between the head of the pancreas, the duodenum and the common bile duct.3,4 Groove pancreatitis is categorized into two forms: pure and segmental. Thus, differentiation between mass-forming chronic pancreatitis (MFCP) and PDAC is . Most patients with groove pancreatitis are males aged 40-50 years with a history of alcohol abuse. Computed tomography shows focal pancreatitis to be hypodense and US reveals hypoechoic tumors. Objective: This study aims to identify multidetector row CT (MDCT) findings that differentiate paraduodenal pancreatitis (PDP) from groove carcinomas (GC). DOI: 10.1097/00004728-199411000-00011 33 Raman, SP, Salaria, SN, Hruban, RH and Fishman, EK. Groove pancreatitis is a form of chronic segmental pancreatitis affecting the groove in the region of the pancreatic head, duodenum, and common bile duct. A variety of pancreatitidies have imaging findings that mimic pancreatic ductal adenocarcinoma and lead to mass formation making diagnosis even more difficult on imaging alone. (Right) Axial CECT shows subtle soft tissue thickening in the pancreaticoduodenal groove, as well as mass-like pancreatic head enlargement with an internal cyst .This was found to be segmental (given pancreatic head involvement) groove pancreatitis at surgery. A high digestive endoscopy visualized thickening of the duodenal wall. Groove pancreatitis is focal chronic pancreatitis affecting the pancreaticoduodenal groove forming fibrotic sheet-like soft tissue in the groove (A1), which typically shows delayed enhancement. In about 20% of patients . National hospital volume in acute pancreatitis: Analysis of the nationwide inpatient sample 1998-2006. A distinction between "pure groove pancreatitis" and "segmental groove pancreatitis" was also reported by the Becker group 16: In this case, the overall impression was that of improving paraduodenal pancreatitis. J Gastroenterol 1998; 33: 289-294 Radiology department of the St. Antonius hospital, Nieuwegein, the Medical Centre Alkmaar and the Rijnland hospital, Leiderdorp, the Netherlands Publicationdate 2015-05-01 The 2012 Revised Atlanta Classification of acute pancreatitis enables standardized reporting which is helpful for communication between clinicians and for research. On the other hand, chronic pancreatitis (CP) bears a greater risk of developing PDAC during the course of the disease. Case Discussion. Discerning between groove carcinoma (GC) and groove pancreatitis (GP) is often difficult, but clinically important. Visit the post for more. Groove pancreatitis (GP) is an under-recognized form of chronic pancreatitis (CP) that involves the space between the pancreatic head, the duodenum, and the common bile duct (CBD). Asian Academic Research Journal of Multidisciplinary etiology- A rare presentation; South East Asian Journal of case reports and reviews: Diverticular Choledochal cyst at cystic duct (type VI variant). Although in some patients there are distinctive clinical and imaging features of groove pancreatitis (GP), there is often . Although interventional radiology is generally employed as the initial treatment for visceral aneurysms, aneurysmic recanalization is a critical problem. Groove pancreatitis Rare form of focal chronic pancreatitis: - Occurs in "groove" between HOP, duodenum, & CBD - Clinical and radiological mimic of HOP carcinoma - Usually middle-aged alcoholic men - Etiology unknown (blocked Santorini duct, inflamed heterotopic pancreas, other?) (Right) Axial CECT shows subtle soft tissue thickening in the pancreaticoduodenal groove, as well as mass-like pancreatic head enlargement with an internal cyst .This was found to be segmental (given pancreatic head involvement) groove pancreatitis at surgery. Seminars in diagnostic Pathology, 2004. 19-25, 2021 Groove pancreatitis is a rare form of chronic pancreatitis affecting the "groove" between the pancreatic head, duodenum, and common bile duct. Hepatogastroenterology. Address correspondence to Case submitted by Dr MGK Murthy. 2 Patients usually present with pancreatic type of chronic abdominal pain. Groove Pancreatitis One form of segmental chronic pancreatitis is called "groove pancreatitis." The groove is located between the pancreatic head, the duodenum, and the common bile duct. Preoperative differentiation between groove pancreatitis and pancreatic cancer is difficult. We retrospectively analyzed and compared the findings of computed tomography (CT), laboratory tests, and endoscopic ultrasound-fine needle aspiration (EUS-FNA) for GC and GP. Wiley, Ltd, Chichester, UK, pp 724 . Two patients had high level of bilirubin (2,62 mg/dl and 6,7 mg/dl) and cholestasis enzymes (GOT 654 and 82 U/l, GPT 769 and 60 U/l, GGT 890 and 1044 U/l), amylase (280 and 230 mg/dl), negative tumors markers in both . A blog about Radiology MCQs, X-ray,CT scan,MRI scan and nuclear scan. Groove pancreatitis is an uncommon type of focal chronic pancreatitis affecting the groove between the head of the pancreas, the duodenum, and the common bile duct. Balthazar EJ. It tends to be hypervascular at angiography. Groove Pancreatitis: Spectrum of Imaging Findings and Radiology-Pathology Correlation Siva P. Raman1 Safia N. Salaria2 Ralph H. Hruban2 Elliot K. Fishman1 Raman SP, Salaria SN, Hruban RH, Fishman EK 1Department of Radiology, Johns Hopkins University School of Medicine, JHOC 3251, 601 N Caroline St, Baltimore, MD 21287. [11] Shanbhogue AK, Fasih N, Surabhi VR, Doherty GP, Shanbhogue DK, Abdominal Radiology (Journal) - Groove Pancreatitis: A Clinical and Imaging Overview (May 2020) COVID-19: Mayo Clinic is committed to taking care of our patients, learners and staff. However, groove pancreatitis reveals a sheet-like curvilinear appearance and delayed enhancement. 1989; 171:353-357. Groove pancreatitis is a segmental chronic pancreatitis that affects the anatomical area between the pancreatic head, the duodenum, and the common bile duct, referred to as the groove area. Introduction. The pure form of groove pancreatitis affects only the groove, whereas the . GROOVE PANCREATITIS --- ? The exact underlying cause of groove pancreatitis is unclear, although there are strong associations . 34 The diagnosis is usually made on CECT, but it can often be difficult to distinguish it from a malignancy. Methods: Medical records of patients hospitalized in the University of Pittsburgh Medical Center system from 2000 to 2014 and diagnosed with groove pancreatitis based on imaging were retrospectively reviewed. Radiology, 2013 [4] Adsay NV, Zamboni G. Paraduodenal pancreatitis: a clinico-pathologically distinct entity unifying. American Journal of . Two forms of groove pancreatitis have been described. Abstract. These conditions include acute focal pancreatitis, chronic pancreatitis, autoimmune pancreatitis, and paraduodenal ("groove") pancreatitis. Two forms of groove pancreatitis have been described. Groove pancreatitis in a child of traumatic: diagnosis by contrast enhance. Groove pancreatitis is a distinct form of chronic pancreatitis affecting the region between the duodenum, head of pancreas and the common bile duct. identified 30 cases of PP (24.5%) [7]. The duodenum is always involved with scar tissue in the wall leading to fibrosis and various levels of . When pancreatitis is focal eg groove pancreatitis it can mimic a mass. Paraduodenal pancreatitis (PP) is an uncommon abdominal pathology characterized by scarring of the pancreaticoduodenal space. Groove pancreatitis is a rare form of chronic pancreatitis affecting the pancreaticoduodenal groove, a potential space bordered by the pancreatic head, duodenum and common bile duct. The final diagnosis was groove pancreatitis. * Paraduodenal pancreatitis is an uncommon type of focal chronic pancreatitis affecting the groove between the head of the pancreas, the duodenum and the common bile duct * Clinical and imaging features of paraduodenal pancreatitis can mimic multiple disease and It is important to distinguish between malignant processes such as pancreatic adenocarcinoma * The most specific imaging features of . HBP (Oxford). Becker and Mischke examined 117 Whipple specimens resected for a clinical diagnosis of chronic pancreatitis and identified some degree of groove involvement in 19.5% of the cases with 8.5% of the cases showing groove involvement only [8]. The term "groove pancreatitis" appeared later, coined in 1982 by Stolte et al, members of Becker's group. It is an uncommon type of chronic focal pancreatitis affecting the groove between the head of the pancreas , the duodenum , and the common bile duct. In about 20 … Paraduodenal pancreatitis, also known as groove pancreatitis, is a rare form of chronic pancreatitis that masquerades as pancreatic adenocarcinoma affecting the pancreaticoduodenal groove, a potential space between the head of the pancreas, duodenum, and common bile duct. A special form of segmental pancreatitis: "groove pancreatitis". The patient subsequently underwent a Whipple procedure, highlighting . Groove pancreatitis: a diagnostic challenge. Saturday, 12 October 2019. The CT and MR demonstrate features suggestive of groove pancreatitis : - Widening of the pancreaticoduodenal groove. Misdiagnosis of PDAC at imaging may lead to unnecessary surgery. Baron TH, Morgan DE. Groove Pancreatitis-MRCP. In a more 2002;223:603-613. Groove or paraduodenal pancreatitis is an uncommon fibroinflammatory form of pancreatitis involving the anatomic space of the pancreatic groove located between the C-loop of the duodenum and the head of the pancreas. 1994; 18 (6): 911 - 5. The chi-square test Fisher exact. References. PubMed Article PubMed Central Google Scholar 8. Although in some patients there are distinctive clinical and imaging features of groove pancreatitis (GP), there is often significant overlap with other infiltrative processes . rts vessels [4, 8, 13]. It involves the anatomic space between the head of the pancreas, the duodenum and the common bile duct. Addeo G, Beccani D, Cozzi D, et al. In: The Pancreas. - Mild hypointensity on MR of the duodenal wall. Thursday, March 10, 2011 hepatobiliary imaging. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Pancreatitis DIAGNOSIS PLEASE: Cystic Duodenal Dystrophy with Groove Pancreatitis Patil et al 1046 radiology.rsna.org n Radiology: Volume 285: Number 3—December 2017 Figure 1 Figure 1: Erect view abdominal radiograph shows linear radiolucencies suggestive of pneumobilia (arrow). [5] Patel BN, Brooke Jeffrey R, et al. Hepatogastroenterology 1982;29(5):198-208. [Google Scholar] 8. CT findings in groove pancreatitis: Correlation with histopathological findings. It is the direct translation of the original term "Rinnenpankreatitis". Pezzilli R, Santini D, Calculli L et al. Radiology. Groove pancreatitis is an uncommon form of chronic pancreatitis affecting the "groove" between the pancreatic head, duodenum and common bile duct. Most patients with groove pancreatitis are males aged 40-50 years with a history of alcohol abuse. Groove pancreatitis is a form of chronic focal pancreatitis affect-ing the PD groove. The histopathologic hallmark of groove pancreatitis is the presence of scar tissue with fibrosis in the pancreaticoduodenal groove or . Characteristic clinical and pathologic features for preoperative diagnosed groove pancreatitis. 36, núm. Although in some patients there are distinctive clinical and imaging features of gr … Chronic pancreatitis is a cause of abdominal pain that may occur as sequelae of multiple factors, including biliary stone disease, alcohol consumption, malignancy, metabolic disorders, and various genetic and environmental insults, including trauma ().Paraduodenal pancreatitis (PDP), also known as groove pancreatitis (2,3), is a specific type of focal pancreatitis centered in the . In this case, the Radiology 259:442-452. Radiology. Clinical . The exact cause is unknown, although there are strong associations with long-term alcohol abuse, functional obstruction of the duct of Santorini, and Brunner gland hyperplasia.