Indian Journal of Surgery

, Volume 79, Issue 4, pp 344–348 | Cite as

Groove Pancreatitis: Report of Three Cases with Brief Review of Literature

  • Sukanta RayEmail author
  • Supriyo Ghatak
  • Debashis Misra
  • Jayanta Dasgupta
  • Jayanta Biswas
  • Sujan Khamrui
  • Debottam Bandyopadhyay
  • Ranajoy Ghosh
Review Article


Groove pancreatitis (GP) is a rare type of segmental pancreatitis, and it remains largely an unfamiliar entity to most physicians. It is often misdiagnosed as pancreatic cancer and autoimmune pancreatitis. With better understanding of radiological findings, preoperative differentiation is often possible. If there is preoperative diagnosis of GP, one can employ non-surgical treatment. But most of the patients ultimately require surgery. Pancreaticoduodenectomy (PD) is the surgical treatment of choice. We report three cases of GP that were treated by Whipple’s operation at our unit. All the three patients had a history of long-standing alcohol intake. In the first and third patients, we had a preoperative diagnosis of GP. But, in the second patient, our pre-operative and intra-operative diagnosis was a pancreatic head malignancy. Diagnosis of GP was made only after histopathological examination. All the three patients had uneventful postoperative recovery and were well at 55-, 45- and 24-month follow-up respectively. In addition to detail descriptions of our three cases, a detailed review of the current literature surrounding this clinical entity is also provided in this article.


Pancreatoduodenal groove Pancreatitis Whipple’s pancreaticoduodenectomy CT scan of the abdomen 


Authors’ Contribution

Sukanta Ray wrote and drafted the manuscript; Supriyo Ghatak, Jayanta Dasgupta, Jayanta Biswas, Debottam Bandyopadhyay, Debashis Misra, Ranajoy Ghosh and Sujan Khamrui were involved in literature search and critically revised the manuscript. All authors had read and approved the final manuscript.

Compliance with Ethical Standards

Conflicts of Interest

The authors declare that they have no competing interest.


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Copyright information

© Association of Surgeons of India 2017

Authors and Affiliations

  • Sukanta Ray
    • 1
    Email author
  • Supriyo Ghatak
    • 1
  • Debashis Misra
    • 2
  • Jayanta Dasgupta
    • 2
  • Jayanta Biswas
    • 1
  • Sujan Khamrui
    • 1
  • Debottam Bandyopadhyay
    • 2
  • Ranajoy Ghosh
    • 3
  1. 1.Division of Surgical Gastroenterology, School of Digestive and Liver DiseasesInstitute of Postgraduate Medical Education and ResearchKolkataIndia
  2. 2.Division of Gastroenterology, School of Digestive and Liver DiseasesInstitute of Postgraduate Medical Education and ResearchKolkataIndia
  3. 3.Division of Pathology, School of Digestive and Liver DiseasesInstitute of Postgraduate Medical Education and ResearchKolkataIndia

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