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Groove Pancreatitis
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Cystic dystrophy of duodenal wall, pancreatic hamartoma of duodenal wall, periampullary duodenal wall cyst
          • Definitions

            • Form of chronic pancreatitis affecting pancreaticoduodenal groove
              • Pure form: Affects only pancreaticoduodenal groove
              • Segmental form: Affects pancreaticoduodenal groove and extends medially into pancreatic head
            • Pancreatic groove is a theoretical space defined by pancreatic head (medially), 2nd portion of duodenum (laterally), 3rd portion of duodenum and IVC (posteriorly), and duodenal bulb (superiorly)
              • Contains distal common bile duct (CBD), main/accessory pancreatic ducts, and major/minor papilla

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    Selected References

                                    1. Gupta R et al: Groove pancreatitis: a common condition that is uncommonly diagnosed preoperatively. Can J Gastroenterol Hepatol. 28(4):181-2, 2014
                                    2. Raman SP et al: Groove pancreatitis: spectrum of imaging findings and radiology-pathology correlation. AJR Am J Roentgenol. 201(1):W29-39, 2013
                                    3. Kim JD et al: Characteristic clinical and pathologic features for preoperative diagnosed groove pancreatitis. J Korean Surg Soc. 80(5):342-7, 2011
                                    4. Malde DJ et al: Pancreatic carcinoma masquerading as groove pancreatitis: case report and review of literature. JOP. 12(6):598-602, 2011
                                    5. Manzelli A et al: Groove pancreatitis. A mini-series report and review of the literature. JOP. 12(3):230-3, 2011
                                    6. Wronski M et al: Sonographic findings in groove pancreatitis. J Ultrasound Med. 30(1):111-5, 2011
                                    7. Blasbalg R et al: MRI features of groove pancreatitis. AJR Am J Roentgenol. 189(1):73-80, 2007
                                    8. Chatelain D et al: Groove pancreatitis and pancreatic heterotopia in the minor duodenal papilla. Pancreas. 30(4):e92-5, 2005
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Synonyms

                                              • Cystic dystrophy of duodenal wall, pancreatic hamartoma of duodenal wall, periampullary duodenal wall cyst
                                            • Definitions

                                              • Form of chronic pancreatitis affecting pancreaticoduodenal groove
                                                • Pure form: Affects only pancreaticoduodenal groove
                                                • Segmental form: Affects pancreaticoduodenal groove and extends medially into pancreatic head
                                              • Pancreatic groove is a theoretical space defined by pancreatic head (medially), 2nd portion of duodenum (laterally), 3rd portion of duodenum and IVC (posteriorly), and duodenal bulb (superiorly)
                                                • Contains distal common bile duct (CBD), main/accessory pancreatic ducts, and major/minor papilla

                                            IMAGING

                                            • General Features

                                              • CT Findings

                                                • MR Findings

                                                  • Ultrasonographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      Selected References

                                                                      1. Gupta R et al: Groove pancreatitis: a common condition that is uncommonly diagnosed preoperatively. Can J Gastroenterol Hepatol. 28(4):181-2, 2014
                                                                      2. Raman SP et al: Groove pancreatitis: spectrum of imaging findings and radiology-pathology correlation. AJR Am J Roentgenol. 201(1):W29-39, 2013
                                                                      3. Kim JD et al: Characteristic clinical and pathologic features for preoperative diagnosed groove pancreatitis. J Korean Surg Soc. 80(5):342-7, 2011
                                                                      4. Malde DJ et al: Pancreatic carcinoma masquerading as groove pancreatitis: case report and review of literature. JOP. 12(6):598-602, 2011
                                                                      5. Manzelli A et al: Groove pancreatitis. A mini-series report and review of the literature. JOP. 12(3):230-3, 2011
                                                                      6. Wronski M et al: Sonographic findings in groove pancreatitis. J Ultrasound Med. 30(1):111-5, 2011
                                                                      7. Blasbalg R et al: MRI features of groove pancreatitis. AJR Am J Roentgenol. 189(1):73-80, 2007
                                                                      8. Chatelain D et al: Groove pancreatitis and pancreatic heterotopia in the minor duodenal papilla. Pancreas. 30(4):e92-5, 2005