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. 2024 Oct 27;16(1):174-177.
doi: 10.22088/cjim.16.1.174. eCollection 2025 Winter.

Acute pancreatitis in patient with malignant obstructive jaundice following percutaneous trans-hepatic biliary drainage: A case report

Amirhosein Ghafouri-Asbagh  1 , Zahra Mohammadi Yushanluee  2 , Arash Khameneh Bagheri  3 , Mehran Malekshoar  4 , Payam Bafandeh Tiz  5 , Javad Jalili  6
Affiliations

Acute pancreatitis in patient with malignant obstructive jaundice following percutaneous trans-hepatic biliary drainage: A case report

Amirhosein Ghafouri-Asbagh et al. Caspian J Intern Med. .

Abstract

Background: Percutaneous Trans hepatic biliary drainage (PTBD) is a successful palliative treatment for malignant obstructive jaundice. Despite the past that PTBD complications occur more frequently. Currently, with the help of an ultrasound guide, these side effects and possibility of adjacent organ damages have decreased interestingly. One of the rare complications of this procedure is acute pancreatitis.

Case presentation: We discuss an uncommon case of acute pancreatitis following PTBD in an elderly woman who presented to the hospital with jaundice and anorexia. Conservative therapy without decatheterization was the treatment of choice in our patient. Eventually after receiving conservative therapy for her pancreatitis, she was discharged from the hospital in good general condition and she has not experienced any episodes of abdominal pain again.

Conclusion: Acute pancreatitis is one of the causes of sepsis during PTBD catheterization. Early management of this complication after PTBD can decrease morbidity and mortality of the patients.

Keywords: Acute pancreatitis; Malignant obstructive jaundice; Percutaneous trans-hepatic biliary drainage (PTBD); Sepsis.

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Conflict of interest statement

The authors declare that there is no conflict of interest with this study.

Figures

Figure 1
Figure 1
PTBD catheterization with fluoroscoipic guidance.
Figure 2
Figure 2
a, b) The pancreas is swollen, and stranding of surrounding fat tissue indicates pancreatitis. Fluid accumulation in sub hepatic and left anterior pararenal spaces. c) Bilateral pleural effusion with underlying lung collapse is evident. d) There is ample evidence of PTBD catheterization.
See this image and copyright information in PMC

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