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  • Title: Acute pancreatitis associated with duodenal obstruction induced by groove pancreatitis: A case report.
    Author: Li J, Liu Q, Liu Z, Cen C, Yang Y, Ye J, Xu L, Lu X, Chen D, Ruan W.
    Journal: Medicine (Baltimore); 2021 Jun 04; 100(22):e26139. PubMed ID: 34087866.
    Abstract:
    RATIONALE: Groove pancreatitis (GP) is a rare form of chronic pancreatitis. Since GP presents with nonspecific symptoms, it can be challenging to diagnose. Duodenal obstruction is often caused by malignant diseases; however, when associated with acute pancreatitis, it is rarely induced by groove pancreatitis. PATIENTS CONCERNS: A 56-year-old man who presented with acute pancreatitis complained of recurrent upper abdominal discomfort. His concomitant symptoms included abdominal pain, postprandial nausea, and vomiting. Contrast-enhanced computed tomography (CT) of the abdomen showed thickening of the duodenum wall. Gastrointestinal radiographs and upper gastrointestinal endoscopy showed an obstruction of the descending duodenum. DIAGNOSIS: The pathologic diagnosis was groove pancreatitis. INTERVENTIONS: The patient underwent gastrojejunostomy to relieve the obstruction. OUTCOMES: The patient had an uneventful recovery with no complications. LESSONS: Groove pancreatitis should be considered in the differential diagnosis of patients presenting with acute pancreatitis and duodenal obstruction. These data can help to make a precise diagnosis and develop an appropriate treatment plan.
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