十二指腸閉塞を呈したgroove pancreatitisと思われた1例

概要

論文の詳細を見る
Groove pancreatitis is ane of specific types of localized chronic pancreatitis and occurs regionally within the groove between the head of the pancreas, duodenum, and common bile duct. In addition to a previously reported case of groove pancreatitis, we report here an unusual case of groove pancreatitis with marked duodenal stenosis and briefly reviewed the relevant literature. A 79-year-old woman admitted to the hospital because of upper abdominal discomfort was found to have a hemorrhagic duodenal ulcer on gastrointestinal endoscopy. On day 8 after admission, she experienced abrupt nausea and vomiting. Upper gastrointestinal series showed severe stenosis at the second portion of the duodenum. Abdominal computed tomography (CT) showed increased fatty tissue density around the pancreatic head and second portion of the duodenum. She underwent surgery for duodenal stenosis because a possibility of pancreatic carcinoma could not be ruled out. Histopathological findings showed extensive cicatrization localized between the head of the pancreas, duodenum and common bile duct, but the pancreatic parenchyma was otherwise intact. She was suspected postoperatively to have groove pancreatitis, a relatively rare pathological condition.
日本臨床外科学会の論文
2003-09-25