Groove pancreatitis: Imaging features and management
The aim of this retrospective study was to highlight the imaging findings of groove pancreatitis (GP) as well as its management. Patients and methods: 16 patients diagnosed to have GP were enrolled in this work. The included patients had complete records of the thorough clinical examination and labo...
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doaj-fd7cb7ee0edc488ca541f3ba928708652020-11-25T01:28:41ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2016-12-014741175118410.1016/j.ejrnm.2016.09.016Groove pancreatitis: Imaging features and managementAbd El-Aziz Mohamed El-Nekidy0Mohamed Eid Ibrahim1Mohamed Saied Abdelgawad2Rania A.M. Abouyoussef3Ahmed Abdellatief Abdelkader4Tarek Abdelhalim Elfaiomy5Radiodiagnosis Department, Alexandria Faculty of Medicine, EgyptRadiodiagnosis Department, Alexandria Faculty of Medicine, EgyptRadiodiagnosis Department, National Liver Institute, El-Menoufia University, EgyptTropical Medicine Department, Alexandria Faculty of Medicine, EgyptDepartment of Surgery, Alexandria Faculty of Medicine, EgyptDepartment of Surgery, Alexandria Faculty of Medicine, EgyptThe aim of this retrospective study was to highlight the imaging findings of groove pancreatitis (GP) as well as its management. Patients and methods: 16 patients diagnosed to have GP were enrolled in this work. The included patients had complete records of the thorough clinical examination and laboratory workup. All patients had been examined by multi-phase contrast enhanced MDCT tailored for pancreatic imaging. Six of these patients were additionally examined by MRI including MRCP., Results: MDCT Multiple detector computed tomography of the 16 patients revealedthe following: (1) a hypodense sheet in the pancreaticoduodenal (PD) groove seen in 12 patients with mild enhancement in the delayed phase seen in 6 of the them; (2) Duodenal wall thickening was seen in 10 patients while (3) associated cysts within the duodenal wall or in PD groove were seen in 6 patients; (4) and pancreatic head enlargement in 8 patients. MRI of Six patients revealedthe following: (1) a T1 hypointense and T2 iso to hyperintense sheet at the PD groove in 4 patients with delayed enhancement in 3 of them; (2) Duodenal wall thickening with T2 high signal was seen in 6 patients while associated cysts within the duodenal wall were seen in 4 patients; (3) Pancreatic head enlargement seen in 4 patients; The MRCP of these patients showed dilated CBD with distal tapering and a distance separating its end from the duodenal wall. Conclusion: GP is a disease that should be considered in the list of differential diagnosis of masses implicating the pancreatic head and medial duodenal wall. Imaging findings that are suggestive of GP include chronic inflammatory changes with fibrosis in the PD groove with or without implication of the nearby head of the pancreas, duodenal medial mural thickening with luminal stenosis and cysts at the PD groove or within the duodenal wall. Vascular invasion is a sign against diagnosis of GP.http://www.sciencedirect.com/science/article/pii/S0378603X16301838Groove pancreatitisPancreatic cancerMRCP |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Abd El-Aziz Mohamed El-Nekidy Mohamed Eid Ibrahim Mohamed Saied Abdelgawad Rania A.M. Abouyoussef Ahmed Abdellatief Abdelkader Tarek Abdelhalim Elfaiomy |
spellingShingle |
Abd El-Aziz Mohamed El-Nekidy Mohamed Eid Ibrahim Mohamed Saied Abdelgawad Rania A.M. Abouyoussef Ahmed Abdellatief Abdelkader Tarek Abdelhalim Elfaiomy Groove pancreatitis: Imaging features and management The Egyptian Journal of Radiology and Nuclear Medicine Groove pancreatitis Pancreatic cancer MRCP |
author_facet |
Abd El-Aziz Mohamed El-Nekidy Mohamed Eid Ibrahim Mohamed Saied Abdelgawad Rania A.M. Abouyoussef Ahmed Abdellatief Abdelkader Tarek Abdelhalim Elfaiomy |
author_sort |
Abd El-Aziz Mohamed El-Nekidy |
title |
Groove pancreatitis: Imaging features and management |
title_short |
Groove pancreatitis: Imaging features and management |
title_full |
Groove pancreatitis: Imaging features and management |
title_fullStr |
Groove pancreatitis: Imaging features and management |
title_full_unstemmed |
Groove pancreatitis: Imaging features and management |
title_sort |
groove pancreatitis: imaging features and management |
publisher |
SpringerOpen |
series |
The Egyptian Journal of Radiology and Nuclear Medicine |
issn |
0378-603X |
publishDate |
2016-12-01 |
description |
The aim of this retrospective study was to highlight the imaging findings of groove pancreatitis (GP) as well as its management.
Patients and methods: 16 patients diagnosed to have GP were enrolled in this work. The included patients had complete records of the thorough clinical examination and laboratory workup. All patients had been examined by multi-phase contrast enhanced MDCT tailored for pancreatic imaging. Six of these patients were additionally examined by MRI including MRCP.,
Results: MDCT Multiple detector computed tomography of the 16 patients revealedthe following: (1) a hypodense sheet in the pancreaticoduodenal (PD) groove seen in 12 patients with mild enhancement in the delayed phase seen in 6 of the them; (2) Duodenal wall thickening was seen in 10 patients while (3) associated cysts within the duodenal wall or in PD groove were seen in 6 patients; (4) and pancreatic head enlargement in 8 patients. MRI of Six patients revealedthe following: (1) a T1 hypointense and T2 iso to hyperintense sheet at the PD groove in 4 patients with delayed enhancement in 3 of them; (2) Duodenal wall thickening with T2 high signal was seen in 6 patients while associated cysts within the duodenal wall were seen in 4 patients; (3) Pancreatic head enlargement seen in 4 patients; The MRCP of these patients showed dilated CBD with distal tapering and a distance separating its end from the duodenal wall.
Conclusion: GP is a disease that should be considered in the list of differential diagnosis of masses implicating the pancreatic head and medial duodenal wall. Imaging findings that are suggestive of GP include chronic inflammatory changes with fibrosis in the PD groove with or without implication of the nearby head of the pancreas, duodenal medial mural thickening with luminal stenosis and cysts at the PD groove or within the duodenal wall. Vascular invasion is a sign against diagnosis of GP. |
topic |
Groove pancreatitis Pancreatic cancer MRCP |
url |
http://www.sciencedirect.com/science/article/pii/S0378603X16301838 |
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