alexa Misdiagnosis of Groove Pancreatitis: A Case Report
ISSN: 2167-7700

Chemotherapy: Open Access
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Case Report

Misdiagnosis of Groove Pancreatitis: A Case Report

Hou-wei Fu1,2, Rui Zhang2*, Lei-bo Xu2, Xian-huan Yu2, Qi-bin Tang2 and Chao Liu2*

1Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, P.R China

2Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, P.R China

*Corresponding Authors:
Zhang Rui
Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital
Sun Yat-sen University, Guangzhou, 510120, P.R China
Tel: +86 20 8411 2828
E-mail: [email protected] Liu Chao
Liu Chao
Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital
Sun Yat-sen University, Guangzhou, 510120, P.R China
Tel: +201001818254
Email: [email protected]

Received date: January 04, 2017; Accepted date: March 27, 2017; Published date: April 03, 2017

Citation: Fu HW, Zhang R, Xu LB, Yu XH, Tang QB, et al. (2017) Misdiagnosis of Groove Pancreatitis: A Case Report. Chemo Open Access 6:227. doi: 10.4172/2167-7700.1000227

Copyright: © 2017 Hou-wei Fu, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Groove Pancreatitis (GP) is a kind of chronic pancreatitis with a clear pathological diagnosis. It’s characterized by fibrotic scarring of the gastroduodenal groove, an anatomical area near the pancreatic head, duodenum and common bile duct (CBD). Its etiology is not clear. GP may be related to alcoholism, weight loss, biliary tract disease, pancreatic cysts and so on. Its incidence rate of GP is low and the diagnosis is difficult. The purpose of this essay is to report a case of GP. A 56-year-old woman is admitted to hospital with painless systemic jaundice as her only symptom and the symptom aggravated in two months. Both medical imagology (CT, MR, and MRCP) and serologic examination (cancer antigens (CA) 19-9) support the diagnosis of malignant cholangiocarcinoma; but, the results of electronic gastroscopy were basically normal. Surgeons had found no malignant tumor characteristics (irregular shape, adhesion, necrosis and so on) in the operation. However, Postoperative pathological results verified the intraoperative evaluation. Combined with postoperative pathological results, the surgeon's experience and reported in domestic and foreign literature, operators consider the patient should be diagnosed as GP. Making a definite diagnosis of GP requires a comprehensive analysis on discriminating with another disease like CBD carcinoma and pancreatic head carcinoma to prevent an over-treatment of patient.


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