Constitutional Syndrome, Ascites and Duodenal Thickening Presenting as Groove Pancreatitis

  • Jose Maria Frutos Perez Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain
  • Mariam Perea Ribis Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain
  • Maria Angeles Martinez Pascual Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain
  • Marina Llopis Sanchis Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain
  • Carlos Tornero Estebanez Department of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain

Keywords

Groove pancreatitis, constitutional syndrome, ascites, duodenal thickening

Abstract

Groove pancreatitis (GP) is a very infrequent subtype of chronic pancreatitis affecting the pancreatic-duodenal junction. It usually manifests in middle-aged men with a history of chronic alcoholism, though it has also been described in women and in individuals who do not consume alcohol[1]. Even though the underlying etiology is unclear, chronic alcohol consumption is known to increase the viscosity of the pancreatic juice and exacerbate the inflammatory process[2]. We present a case of GP that posed diagnostic difficulties because it manifested as ascites and duodenal thickening, with pancreatic imaging findings initially normal.

References

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  • Published: 2017-12-29

    Issue: Vol 5 No 3 (view)

    Section: Articles

    How to cite:
    Frutos Perez, J. M., Perea Ribis, M., Martinez Pascual, M. A., Llopis Sanchis, M., & Tornero Estebanez, C. (2017). Constitutional Syndrome, Ascites and Duodenal Thickening Presenting as Groove Pancreatitis. European Journal of Case Reports in Internal Medicine, 5(3). https://doi.org/https://doi.org/10.12890/2017_000789