PDF(Pubmed)
Abstract：
Groove pancreatitis (GP) is a rare type of chronic pancreatitis characterized by fibrotic lesions localized to the groove between the pancreatic head, duodenum, and common bile duct. We present a case of a 59-year-old male alcoholic with vomiting and renal dysfunction found to have duodenal obstruction and low-density pancreatic head lesions on computed tomography concerning for GP. The patient underwent pancreaticoduodenectomy and pathology confirmed the diagnosis postoperatively. The patient recovered well without complications or relapse at follow-up. Although rare, GP should be included in the differential for pancreatic head masses in middle-aged alcoholics and surgical resection may be necessary for symptom relief and exclusion of malignancy.
摘要：
沟槽胰腺炎（GP）是一种罕见的慢性胰腺炎，其特征是位于胰头之间的沟槽的纤维化病变，十二指肠,和胆总管.我们介绍了一例59岁的男性酒精中毒，伴有呕吐和肾功能不全，在计算机断层扫描中发现十二指肠梗阻和低密度胰头病变，涉及GP。患者行胰十二指肠切除术，术后病理证实诊断。患者恢复良好，随访时无并发症或复发。虽然罕见，中年酗酒者的胰头肿块应包括GP，手术切除可能是缓解症状和排除恶性肿瘤的必要条件。
