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Case Reports
. 2023 May 12:16:11795476231172654.
doi: 10.1177/11795476231172654. eCollection 2023.

Paraduodenal Pancreatitis: A Case Report

Kaoutar Imrani  1 , Nabil Moatassim Billah  1 , Ittimade Nassar  1
Affiliations
Case Reports

Paraduodenal Pancreatitis: A Case Report

Kaoutar Imrani et al. Clin Med Insights Case Rep. .

Abstract

Pancreatitis of the groove, or paraduodenal pancreatitis, is a rare form of chronic segmental pancreatitis, located between the head of the pancreas, the inner wall of the duodenum, and the common bile duct. Alcohol abuse is misoften found in the history. The diagnosis is made on the basis of CT and MRI data. Clinical signs usually regress under symptomatic medical treatment. The main differential diagnosis is pancreatic carcinoma, which sometimes requires surgical exploration. We report the case of a 51 years old man presenting paraduodenal pancreatitis with heterotopic pancreas revealed by epigastric pain.

Keywords: Paraduodenal pancreatitis; cystic dystrophy; groove pancreatitis.

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Conflict of interest statement

THE author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Abdominal CT scan axial (a, b) and coronal (c, d) images with contrast injection showing thickening of the inner wall of the second duodenum, lately enhanced (blue arrow), with multiple subcentimetric cystic formations in the wall of the duodenum and in the duodeno-pancreatic groove (yellow arrow).
Figure 2.
Figure 2.
Pancreatic MRI in T2 coronal WS (a), MRCP (b), axial T1 with contrast enhancement WS (c, d) confirming intramural and inter duodenal-pancreatic cysts (red arrow).
Figure 3.
Figure 3.
Pancreatic MRI in T2 axial FS WS (a, b, c) and T1 after contrast enhancement WS (d) showed the presence of aberrant pancreatic tissue in the inner wall of the second duodenum (green arrow).
Figure 4.
Figure 4.
Post surgery CT scan control without contrast (a) and after contrast enhancement (b) showing anastomoses of WHIPPLE surgery: the jejunal loop is anastomosed to the right of the remaining pancreas and to the anterior surface of the superior mesenteric artery (orange arrow).
See this image and copyright information in PMC

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