Constitutional Syndrome, Ascites and Duodenal Thickening Presenting as Groove Pancreatitis

Constitutional Syndrome, Ascites and Duodenal Thickening Presenting as Groove Pancreatitis

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Groove pancreatitis read more (GP) is a very infrequent subtype of chronic pancreatitis affecting the pancreatic-duodenal junction.It usually manifests in middle-aged men with a history of chronic alcoholism, though it has also been described in women and in individuals who do not consume alcohol[1].Even though the underlying etiology is unclear, chronic alcohol consumption is known to increase the viscosity of the pancreatic juice and exacerbate the inflammatory process[2].We present a case of GP that posed diagnostic difficulties because it manifested as ascites and here duodenal thickening, with pancreatic imaging findings initially normal.