Volume 30, Issue 1 pp. 111-115
Case Series

Sonographic Findings in Groove Pancreatitis

Marek Wronski MD, PhD

Corresponding Author

Marek Wronski MD, PhD

Department of General, Gastroenterologic, and Oncologic Surgery, Medical University of Warsaw, Warsaw, Poland.

Address correspondence to Marek Wronski, MD, PhD, Department of General, Gastroenterologic, and Oncologic Surgery, Medical University of Warsaw, Ulica Banacha 1A, 02-097 Warsaw, Poland.Search for more papers by this author
Dominika Karkocha MD

Dominika Karkocha MD

Department of General, Gastroenterologic, and Oncologic Surgery, Medical University of Warsaw, Warsaw, Poland.

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Maciej Slodkowski MD, PhD

Maciej Slodkowski MD, PhD

Department of General, Gastroenterologic, and Oncologic Surgery, Medical University of Warsaw, Warsaw, Poland.

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Wlodzimierz Cebulski MD, PhD

Wlodzimierz Cebulski MD, PhD

Department of General, Gastroenterologic, and Oncologic Surgery, Medical University of Warsaw, Warsaw, Poland.

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Ireneusz W. Krasnodebski MD, PhD

Ireneusz W. Krasnodebski MD, PhD

Department of General, Gastroenterologic, and Oncologic Surgery, Medical University of Warsaw, Warsaw, Poland.

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First published: 01 January 2011
Citations: 23

Abstract

Groove pancreatitis is a rare form of chronic pancreatitis involving the anatomic plane between the pancreatic head and duodenum. The radiographic diagnosis remains challenging, and most patients undergo exploratory laparotomy on suspicion of a periampullary malignancy. The appearance of groove pancreatitis on transabdominal and intraoperative sonography has rarely been reported in the literature. The sonographic findings in our 2 patients included a hypoechoic thin area between the pancreatic head and duodenum, a hyperechoic and thickened wall of the adjacent duodenum, and a heterogeneous or hyperechoic dorsocranial part of the pancreatic head.

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