Constitutional Syndrome, Ascites and Duodenal Thickening Presenting as Groove Pancreatitis
  • Jose Maria Frutos Perez
    Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain
  • Mariam Perea Ribis
    Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain
  • Maria Angeles Martinez Pascual
    Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain
  • Marina Llopis Sanchis
    Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain
  • Carlos Tornero Estebanez
    Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain

Keywords

Groove pancreatitis, constitutional syndrome, ascites, duodenal thickening

Abstract

Groove pancreatitis (GP) is a very infrequent subtype of chronic pancreatitis affecting the pancreatic-duodenal junction. It usually manifests in middle-aged men with a history of chronic alcoholism, though it has also been described in women and in individuals who do not consume alcohol[1]. Even though the underlying etiology is unclear, chronic alcohol consumption is known to increase the viscosity of the pancreatic juice and exacerbate the inflammatory process[2]. We present a case of GP that posed diagnostic difficulties because it manifested as ascites and duodenal thickening, with pancreatic imaging findings initially normal.

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References

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    Published: 2017-12-29
    Issue: Vol. 5 No. 3 (view)

    How to cite:
    1.
    Frutos Perez JM, Perea Ribis M, Martinez Pascual MA, Llopis Sanchis M, Tornero Estebanez C. Constitutional Syndrome, Ascites and Duodenal Thickening Presenting as Groove Pancreatitis. EJCRIM 2017;5 doi:10.12890/2017_000789.

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