Groove pancreatitis treated by duodenal and biliary bypass
| Autor: | Yutaka Kanamori, Akihiro Fujino, Hirotaka Shimizu, Yoshiyuki Tsutsumi, Teizaburo Mori, Yumi Kudo, Osamu Miyazaki, Takuro Fujita, Kazunori Tahara, Kazue Miyake, Katsuhiro Arai, Yohei Yamada, Mai Kutsukake |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Surgery Duodenal stenosis Gastroenterology Pancreaticoduodenectomy 03 medical and health sciences 0302 clinical medicine Internal medicine Medicine Pancreatic duct Groove pancreatitis Common bile duct business.industry lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Duodenum Pancreatitis 030211 gastroenterology & hepatology Surgery business Pancreas Groove (joinery) |
| Zdroj: | Journal of Pediatric Surgery Case Reports, Vol 59, Iss, Pp 101540-(2020) |
| ISSN: | 2213-5766 |
| Popis: | Background Groove pancreatitis is a type of pancreatitis where inflammation occurs in the “groove area” which is the narrow space surrounded by the duodenum, head of the pancreas and common bile duct, where lymph nodes, blood vessels and pancreatic duct exist. Groove area inflammation causes duodenal stenosis/obstruction, narrowing of the extrahepatic biliary tree and sometimes pancreatitis. The exact etiology of the disease is not well understood but Santorini duct obstruction (congenital or acquired) may be associated with inflammation of the groove area, which is partly caused by excessive alcoholic intake or gastric/duodenal peptic ulcer in adults. Case presentation We report a very rare pediatric case of groove pancreatitis. The imaging findings were typical for groove pancreatitis and the bypass operation to release duodenal stenosis and extrahepatic biliary tree obstruction was performed instead of doing pancreaticoduodenectomy often done in adult cases. Conclusion Groove pancreatitis is a rare disorder and a pediatric case is quite rare but pediatric surgeons should keep in mind this rare disorder when we meet the case with biliary dilatation and/or duodenal stenosis. |
| Databáze: | OpenAIRE |
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