Year 2020 / Volume 112 / Number 11
Digestive Diseases Image
Groove pancreatitis: a rare cause of severe gastric dilation

879-880

DOI: 10.17235/reed.2020.6765/2019

Paula Martínez de la Cruz, Daniel Riado Mínguez, José Martel Villagrán, Cristina Verdejo Gil,

Abstract
A 57-year-old male with a history of chronic pancreatitis related to heavy smoking and alcohol abuse was evaluated in the emergency department due to a 3-day history of epigastric pain and postprandial vomiting. Abdominal computed tomography (CT) was performed and revealed a severe gastric dilation that reached the pelvis. There was a marked concentric mural thickening at the duodenal level and an intramural cysts that caused a narrowing of the light and a retrograde gastric dilation. There were no findings suggestive of chronic pancreatitis. A diagnosis was made of duodenal obstruction due to groove pancreatitis with severe secondary gastric dilatation.
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References
1. DeSouza K, Laurentia N. Groove Pancreatitis. A brief review of a diagnostic challenge. Arch Pathol Lab Med. March 2015.
2. Löhr JM, Dominguez-Munoz E, Rosendahl J, et al. United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU). United European Gastroenterol J. 2017 Mar;5(2):153-199.
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Martínez de la Cruz P, Riado Mínguez D, Martel Villagrán J, Verdejo Gil C. Groove pancreatitis: a rare cause of severe gastric dilation. 6765/2019


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Publication history

Received: 23/11/2019

Accepted: 27/12/2019

Online First: 15/10/2020

Published: 10/11/2020

Article revision time: 20 days

Article Online First time: 327 days

Article editing time: 353 days


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