Groove pancreatitis: Spectrum of imaging findings and radiology-pathology correlation

Siva P. Raman, Safia N. Salaria, Ralph H. Hruban, Elliot K. Fishman

Research output: Contribution to journalReview articlepeer-review

63 Scopus citations


OBJECTIVE. Groove pancreatitis is a rare form of chronic pancreatitis affecting the "groove" between the pancreatic head, duodenum, and common bile duct. The exact cause is unknown, although there are strong associations with long-term alcohol abuse, functional obstruction of the duct of Santorini, and Brunner gland hyperplasia. CONCLUSION. Unfortunately, differentiating groove pancreatitis from malignancy on the basis of imaging features, clinical presentation, or laboratory markers can be extraordinarily difficult, and the vast majority of these patients ultimately undergo a pancreaticoduodenectomy (Whipple procedure) because of an inability to completely exclude malignancy. In certain cases, however, the imaging features on CT and MRI can allow the radiologist to prospectively suggest the correct diagnosis.

Original languageEnglish (US)
Pages (from-to)W29-W39
JournalAmerican Journal of Roentgenology
Issue number1
StatePublished - Jul 2013


  • CT
  • Groove pancreatitis
  • MRI
  • Pancreatic adenocarcinoma
  • Pancreatic cancer

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


Dive into the research topics of 'Groove pancreatitis: Spectrum of imaging findings and radiology-pathology correlation'. Together they form a unique fingerprint.

Cite this