Paraduodenal pancreatitis

Case contributed by Dr Eric F Greif

Presentation

This patient presents with right upper quadrant pain for the past five days.

Patient Data

Age: 45
Gender: Male
CT

There is hypodensity between the medial aspect of the proximal duodenum and the pancreatic head/uncinate process. In addition, there is indistinct faint low attenuation involving the pancreatic head/uncinate process parenchyma. 

Annotated image

There is hypodensity between the medial aspect of the proximal duodenum and the pancreatic head/uncinate process (yellow arrows).

Case Discussion

Haitian male with history of alcohol abuse and recurrent pancreatitis. Patient was complaining of five days of right upper abdominal pain and found to have mildly elevated lipase levels 136 U/L (normal range 16-58 U/L). The imagining findings are highly suggestive of paraduodenal pancreatitis (preferred to the older term groove pancreatitis).

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Case information

rID: 53788
Case created: 6th Jun 2017
Last edited: 5th Sep 2017
Inclusion in quiz mode: Included

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