Question:

Which one of the following factors is not a possible etiologic factor of groove pancreatitis (GP)?
1. Abnormal minor papilla
2. Gallstones
3. Pancreatic heterotopia
4. Gastric resection
5. True duodenal wall cysts





Answer:

The correct answer for the question "Which one of the following factors is not a possible etiologic factor of groove pancreatitis (GP)?" is:

2. Gallstones



Explanation
[Peptic ulcer disease, Santorini duct obstruction, abnormal minor papilla, pancreatic heterotopia, gastric resection and true duodenal wall cysts have been suggested as possible etiologic factors.]



From the manuscript:
Groove pancreatitis: A Case Report and Review of the Literature
Radiology Case. 2010 Nov; 4(11):9-17


This article belongs to the GI section.




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From the manuscript

Groove pancreatitis: A Case Report and Review of the Literature

Free full text article: Groove pancreatitis: A Case Report and Review of the Literature

Abstract
Groove pancreatitis is a rare form of segmental chronic pancreatitis. It involves the anatomic space between the head of the pancreas, the duodenum and the common bile duct. It was first described in the early 1970s, but it remains largely unfamiliar to most physicians. Radiological diagnosis can be challenging, as it is often difficult to differentiate it from other entities. The differential diagnosis from pancreatic head carcinoma may be difficult and recognition of subtle differences between these two entities is extremely important as the management differs significantly. Groove pancreatitis can be managed by conservative medical treatment, and surgery is reserved only for patients with persistent and severe clinical symptoms. We present a case of a 27 year-old male with groove pancreatitis and discuss the Magnetic Resonance Imaging (MRI) appearance of this entity as well as the differential diagnosis.






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