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 article


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 1 2013


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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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