Groove Pancreatitis Associated with Transient Liver Injury Mimicking Ampullary Neoplasm

Autor: Elrazi Awadelkarim Hamid Ali, Ahmed Emad Mahfouz, Akhnuwkh Jones, Abdelatif Abdelmola, Mohamed A. Yassin
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Gastroenterology, Vol 14, Iss 2, Pp 306-314 (2020)
Druh dokumentu: article
ISSN: 1662-0631
DOI: 10.1159/000507430
Popis: Groove pancreatitis is an unusual form of pancreatitis characterized by fibrous inflammation and pseudo-tumor in the area around the head of the pancreas. The underlying etiology is unknown but is strongly linked to alcohol abuse. We report a 52-year-old male smoker with hypertension, asthma, and alcohol abuse who was admitted with severe epigastric pain radiating to the back. He was found to have acute pancreatitis. A computed tomography scan of the abdomen showed a mass lesion in the peri-ampullary region. MRI of the abdomen revealed dilated common bile duct and duodenal mass and features suggestive of groove pancreatitis. During the hospital stay, bilirubin and liver enzymes started to rise and then decreased gradually to the previous normal range. The secondary workup for liver disease was unremarkable. The patient improved and was discharged. Six-month follow-up showed regression of the duodenal lesion and reduction in the common bile duct dilatation. Excluding malignancy remains the main challenge in managing groove pancreatitis, and a conservative approach is more reasonable in cases with a typical profile.
Databáze: Directory of Open Access Journals
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