Medicine · 2021
Acute pancreatitis associated with duodenal obstruction induced by groove pancreatitis: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Li Jiayan, Liu Qianyi, Liu Zhishang, Cen Chuan, Yang Yuyu, Ye Jianming, Xu Li, Lu Xiji, Chen Dongfeng, Ruan Weishan
Аннотация
RATIONALE: Groove pancreatitis (GP) is a rare form of chronic pancreatitis. Since GP presents with nonspecific symptoms, it can be challenging to diagnose. Duodenal obstruction is often caused by malignant diseases; however, when associated with acute pancreatitis, it is rarely induced by groove pancreatitis.
PATIENTS CONCERNS: A 56-year-old man who presented with acute pancreatitis complained of recurrent upper abdominal discomfort. His concomitant symptoms included abdominal pain, postprandial nausea, and vomiting. Contrast-enhanced computed tomography (CT) of the abdomen showed thickening of the duodenum wall. Gastrointestinal radiographs and upper gastrointestinal endoscopy showed an obstruction of the descending duodenum.
DIAGNOSIS: The pathologic diagnosis was groove pancreatitis.
INTERVENTIONS: The patient underwent gastrojejunostomy to relieve the obstruction.
OUTCOMES: The patient had an uneventful recovery with no complications.
LESSONS: Groove pancreatitis should be considered in the differential diagnosis of patients presenting with acute pancreatitis and duodenal obstruction. These data can help to make a precise diagnosis and develop an appropriate treatment plan.
PATIENTS CONCERNS: A 56-year-old man who presented with acute pancreatitis complained of recurrent upper abdominal discomfort. His concomitant symptoms included abdominal pain, postprandial nausea, and vomiting. Contrast-enhanced computed tomography (CT) of the abdomen showed thickening of the duodenum wall. Gastrointestinal radiographs and upper gastrointestinal endoscopy showed an obstruction of the descending duodenum.
DIAGNOSIS: The pathologic diagnosis was groove pancreatitis.
INTERVENTIONS: The patient underwent gastrojejunostomy to relieve the obstruction.
OUTCOMES: The patient had an uneventful recovery with no complications.
LESSONS: Groove pancreatitis should be considered in the differential diagnosis of patients presenting with acute pancreatitis and duodenal obstruction. These data can help to make a precise diagnosis and develop an appropriate treatment plan.