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KMID : 0614620070490030187
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Korean Journal of Gastroenterology
2007 Volume.49 No. 3 p.187 ~ p.191
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A Case of Groove Pancreatitis with a Characteristic Pathologic Feature
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Park Kwang-Hyuk
Yoo Kyo-Sang
Chung Yong-Woo
Kim Kyoung-Oh
Park Cheol-Hee
Kim Jong-Hyeok
Park Choong-Kee
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Abstract
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Groove pancreatitis is a rare form of chronic pancreatitis in which scarring is found mainly in the groove between the head of the pancreas, duodenum, and common bile duct. The pathogenesis of groove pancreatitis is still unclear but seems to be caused by the disturbance of pancreatic outflow through Santorini duct. It is often difficult to differentiate preoperatively between groove pancreatitis and pancreatic head carcinoma. Whereas conservative management is effective, some patients with duodenal obstruction may undergo Whipple`s operation. A few case of groove pancreatitis have been reported in Korea, and they were diagnosed only by clinical and radiological features. We experienced a case of groove pancreatitis who needed a surgical management because of severe duodenal obstruction. We report the case with a review of its characteristic pathologic findings. (Korean J Gastroenterol 2007;49:187-191)
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KEYWORD
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Groove pancreatitis
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