Groove pancreatitis: a diagnostic challenge.
Groove pancreatitis is a distinct form of chronic pancreatitis characterized by inflammation and fibrous tissue formation, affecting the groove area between the head of the pancreas, the duodenum and the common bile duct. It is manifested on imaging by a sheet-like mass in the groove area near the m...
| Publicado en: | European Radiology Vol. 19; no. 7; pp. 1736 - 1744 |
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| Autores principales: | , , , , , , , , , |
| Formato: | review Journal Article |
| Publicado: |
Springer Nature
Jul2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105349676&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105349676 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Jul2009 vid: 19 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105349676 40926642 NLM19238393 2010306223 10.1007/s00330-009-1332-7 NLM19238393 105349676 ppf: 1736 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Groove pancreatitis: a diagnostic challenge. aug: au: Triantopoulou C Dervenis C Giannakou N Papailiou J Prassopoulos P Triantopoulou, C Dervenis, C Giannakou, N Papailiou, J Prassopoulos, P affil: Computed Tomography Department, Konstantopouleion Agia Olga General Hospital, Athens, Greece sug: subj: Diagnostic Imaging Methods Image Enhancement Methods Pancreatitis Diagnosis Diagnosis, Differential ab: Groove pancreatitis is a distinct form of chronic pancreatitis characterized by inflammation and fibrous tissue formation, affecting the groove area between the head of the pancreas, the duodenum and the common bile duct. It is manifested on imaging by a sheet-like mass in the groove area near the minor papilla. Thickening of the duodenal wall and cystic transformation in the duodenal wall also represent common imaging features. Pathogenesis is still unclear, and clinical presentation is not specific. Endoscopic ultrasonography (EUS), computed tomography (CT) and magnetic resonance imaging (MRI) demonstrate imaging findings consistent with the disease in typical cases, but specific diagnosis is challenging in a number of patients where biopsy is required. The disease may mimic pancreatic, common bile duct or duodenal wall cancer that requires prompt and excessive surgical intervention, as opposed to groove pancreatitis where initial conservative treatment is suggested. The clinical, histopathological and radiological features on cross-sectional imaging of this entity are discussed in this review, and differential diagnostic clues are given. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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