Groove Pancreatitis

The so-called 'groove pancreatitis', first described by Becker [30], is a rare, 'late' complication occurring after several AP attacks, and is defined as an inflammatory reaction and fluid collection located in the groove between the head of the pancreas, the duodenum and the common bile duct. The anterior anlage of the pancreas seems to be mainly affected, with duodenal stenosis and/or strictures of the common duct in about 50% of the cases. Therefore, this disease may mimic pancreatic head cancer, necessitating surgical exploration. Dynamic CT and MR imaging with delayed enhancement of collagen fibrous tissue during the late post-equilibrium phase can characterize a potential soft tissue mass as fibrosis and may, in the absence of complications, allow surgical exploration to be avoided [31, 32].

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