Paraduodenal pancreatitis as an uncommon cause of gastric outlet obstruction: A case report and review of the literature

INTRODUCTION: Paraduodenal pancreatitis (PP) is an under-recognized form of focal chronic or recurrent pancreatitis. Since PP presents with non-specific symptoms and shares radiological and histopathological features with other entities, it can be challenging to diagnose. PRESENTATION OF CASE REPORT...

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Detalles Bibliográficos
Autores principales: Larjani, Soroush, Bruckschwaiger, Vanessa R., Stephens, Leslie A., James, Paul D., Martel, Guillaume, Mimeault, Richard, Balaa, Fady K., Bertens, Kimberly A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545816/
https://www.ncbi.nlm.nih.gov/pubmed/28783521
http://dx.doi.org/10.1016/j.ijscr.2017.07.043
Descripción
Sumario:INTRODUCTION: Paraduodenal pancreatitis (PP) is an under-recognized form of focal chronic or recurrent pancreatitis. Since PP presents with non-specific symptoms and shares radiological and histopathological features with other entities, it can be challenging to diagnose. PRESENTATION OF CASE REPORT: Herein, a case of a 64 year-old Caucasian male with PP presenting with recurrent gastric outlet obstruction (GOO) is detailed. Over the course of two years, he underwent multiple balloon dilatations for symptom management. His diagnostic course was complicated by inconclusive and misleading biopsies. CONCLUSION: PP can rarely present as GOO in otherwise asymptomatic patients. A preoperative pathologic diagnosis can be difficult to obtain, and in this case delayed definitive surgical management. The case is discussed in detail, and a concise review the current literature was undertaken.

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