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Case Reports
. 2021 May 14;2021(5):rjab189.
doi: 10.1093/jscr/rjab189. eCollection 2021 May.

Post-pancreatic necrosectomy biliary fistula: thinking beyond the box

Narendra Pandit  1 , Laligen Awale  1 , Kunal Bikram Deo  1 , Bickram Pradhan  2
Affiliations
Case Reports

Post-pancreatic necrosectomy biliary fistula: thinking beyond the box

Narendra Pandit et al. J Surg Case Rep. .

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.

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Figures

Figure 1
Figure 1
Contrast CT abdomen showing walled-off pancreatic necrosis in the pancreatic head, close to the distal bile duct.
Figure 2
Figure 2
Imaging showing post-pancreatic necrosectomy status with bile leak in the lesser sac drain.
Figure 3
Figure 3
Fistulogram from the lesser sac drain showing biliary tree opacification.
See this image and copyright information in PMC

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