Post-pancreatic necrosectomy biliary fistula: thinking beyond the box

Author:

Pandit Narendra1,Awale Laligen1,Deo Kunal Bikram1,Pradhan Bickram2

Affiliation:

1. Division of Surgical Gastroenterology, Department of Surgery, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal

2. Department of Gastroenterology and Hepatology, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal

Abstract

ABSTRACT Walled-off pancreatic necrosis is a challenging problem and pancreatic necrosectomy is associated with significant morbidity and mortality. Following necrosectomy, postoperative bile leak is a rare complication. We present such a case of delayed bile leak from the distal common bile duct in an 81-year-old lady following pancreatic necrosectomy, which was successfully managed by endoscopic stenting.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference6 articles.

1. Minimally invasive and endoscopic versus open necrosectomy for necrotizing pancreatitis: a pooled analysis of individual data for 1980 patients;Brunschot;Gut,2018

2. Pancreatic necrosis: complications and changing trend of treatment;Rashid;World J Gastrointest Surg,2019

3. Operative management of acute pancreatitis;Martin;Surg Clin North Am,2013

4. Gastrointestinal fistulas in acute pancreatitis with infected pancreatic or Peripancreatic necrosis: a 4-year single-Center experience;Jiang;Medicine (Baltimore),2016

5. Pancreatic choledochal fistula complicating acute pancreatitis;Brar;Am J Case Rep,2012

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