Introduction: Described by Becker in 1973, groove pancreatitis is a rare segmental chronic pancreatitis affecting the groove between the head of the pancreas, the duodenum and the common bile duct. Mimicking pancreatic head carcinoma, surgical exploration is often required.
Observation: Diagnosis of groove pancreatitis was made on computed tomography and MR imaging (groove fibrosis) in a 58 year-old man presenting with acute pancreatitis complicated by bilary and duodenal stenosis, with totally favourable outcome within 5 months with conservative treatment.