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Case Reports
. 2017 Dec 6:4:e123.
doi: 10.14309/crj.2017.123. eCollection 2017.

Intrapancreatic Enteric Duplication Cyst Masquerading as Groove Pancreatitis

Remil Simon  1 , Evon Zoog  1 , George Philips  2 , Jacob Dowden  1
Affiliations
Case Reports

Intrapancreatic Enteric Duplication Cyst Masquerading as Groove Pancreatitis

Remil Simon et al. ACG Case Rep J. .

Abstract

Intrapancreatic enteric duplication cysts are exceedingly rare, and the clinical presentation varies. We present a 48-year-old man with significant alcohol and tobacco abuse and a diagnosis of groove pancreatitis complicated by a pancreatic duct stricture, pseudocyst, and recurrent biliary obstruction. Due to failure of endoscopic therapy and concerning findings on endoscopic ultrasound with negative pathology, he underwent a pancreaticoduodenectomy. Pathology revealed an intrapancreatic enteric duplication cyst, minimal chronic pancreatitis changes associated with pancreaticobiliary strictures, and no evidence of malignancy. This rare diagnosis should be considered in the differential for patients with idiopathic recurrent pancreaticobiliary duct strictures and pancreatic pseudomasses.

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Figures

Figure 1
Figure 1
(A) Computed tomography and (B) endoscopic ultrasound of a heterogeneous, mildly hypoechoic inflammatory mass measuring 3 x 2.6 cm without distinct margins.
Figure 2
Figure 2
(A) Macroscopic view of specimen. (B) Enteric lining with gastric type epithelium.
See this image and copyright information in PMC

References

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