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Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice

2016Journal article Open access
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dc.contributor.authorGravito-Soares, M
dc.contributor.authorGravito-Soares, E
dc.contributor.authorAlves, A
dc.contributor.authorGomes, D
dc.contributor.authorAlmeida, N
dc.contributor.authorTralhão, G
dc.contributor.authorSofia, C
dc.date.accessioned2018-11-28T15:40:19Z
dc.date.available2018-11-28T15:40:19Z
dc.date.issued2016
dc.description.abstractINTRODUCTION: Groove pancreatitis is an uncommon cause of chronic pancreatitis that affects the groove anatomical area between the head of the pancreas, duodenum, and common bile duct. CLINICAL CASE: A 67-year-old man with frequent biliary colic and an alcohol consumption of 30-40 g/day was admitted to the hospital complaining of jaundice and pruritus. Laboratory analysis revealed cholestasis and the ultrasound scan showed intra-hepatic biliary ducts dilatation, middle third cystic dilatation of common bile duct, enlarged Wirsung and pancreatic atrophy. The magnetic resonance cholangiopancreatography showed imaging findings compatible with groove pancreatitis. An esophagogastroduodenoscopy later excluded duodenal neoplasia. He was submitted to a Roux-en-Y cholangiojejunostomy because of common bile duct stricture. Five months later a gastrojejunostomy was performed due to a duodenal stricture. The patient remains asymptomatic during follow-up. DISCUSSION: Groove pancreatitis is a benign cause of obstructive jaundice, whose main differential diagnosis is duodenal or pancreatic neoplasia. When this condition causes duodenal or biliary stricture, surgical treatment can be necessary.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGE Port J Gastroenterol. 2015 Oct 17;23(3):170-174.pt_PT
dc.identifier.doi10.1016/j.jpge.2015.09.001pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.4/2189
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectColestasept_PT
dc.subjectObstrução Duodenalpt_PT
dc.subjectIcterícia Obstrutivapt_PT
dc.subjectPancreatitept_PT
dc.titleGroove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundicept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage174pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage170-174pt_PT
oaire.citation.volume23pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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