Pancreatoduodenectomy for groove pancreatitis: A case report and literature review

Bacalbasa,Nicolae; Balescu,Irina; Dima,Simona; Popescu,Irinel

doi:10.3892/etm.2021.10890

Pancreatoduodenectomy for groove pancreatitis: A case report and literature review

Authors:
- Nicolae Bacalbasa
- Irina Balescu
- Simona Dima
- Irinel Popescu
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Affiliations: Department of Obstetrics and Gynecology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Visceral Surgery, ‘Ponderas’ Academic Hospital, 021188 Bucharest, Romania, Department of Visceral Surgery, Center of Excellence in Translational Medicine, ‘Fundeni’ Clinical Institute, 022328 Bucharest, Romania
Published online on: October 18, 2021 https://doi.org/10.3892/etm.2021.10890
Article Number: 1455

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Abstract

Groove pancreatitis represents a rare pathological condition which is usually associated with chronic alcohol intake. However, the differential diagnosis between groove pancreatitis and groove pancreatic carcinoma is difficult to establish pre‑operatively. In this respect, a significant number of cases are treated as malignant conditions, with the final diagnosis of benign disease being established post‑operatively. The present study describes the case of a 46‑year‑old male who was diagnosed with groove pancreatitis. Due to the uncertainty of the pre‑operative diagnosis, the patient was subjected to radical surgery consisting of pancreatoduodenectomy. The final histopathological diagnosis confirmed the presence of groove pancreatitis. Moreover, it excluded the possibility of an association with any element of malignancy and provided the effective management of the disease, all the symptoms being significantly alleviated at the 3‑month follow‑up. In addition, the present study also provides a brief summary and discussion of the disease and associated treatment options. On the whole, as demonstrated herein, pancreatoduodenectomy appears to be a safe and effective method for the treatment of groove pancreatitis, being associated with a significant improvement in the quality of life of the patient; moreover, it represents the sole method which can exclude the diagnosis of malignancy.

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