title: Intrapancreatic communication of bile and pancreatic ducts secondary to pancreatic necrosis.
abstract: An unusual complication of acute necrotizing pancreatitis occurred in which erosion of the intrapancreatic common bile duct and cephalic pancreatic duct formed a pancreaticobiliary cavity. This pancreatic process was observed to enhance during contrast computed tomography and was hypervascular during angiography, making preoperative diagnosis difficult. To our knowledge, the spontaneous development of such a cavity as a complication of acute pancreatitis has not been reported. The patient was successfully treated with pancreaticoduodenectomy.
authors.affiliation: Department of Surgery, Mason Clinic, Seattle, WA 98111.
authors.forename: B M
authors.initials: BM
authors.lastname: Miller
authors.forename: L W
authors.initials: LW
authors.lastname: Traverso
authors.forename: P C
authors.initials: PC
authors.lastname: Freeny
mesh_terms: D000208:Acute Disease; D001658:Biliary Fistula / Q000209:etiology*; D003137:Common Bile Duct Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010183:Pancreatic Ducts / Q000473:pathology*; D010185:Pancreatic Fistula / Q000209:etiology*; D010195:Pancreatitis / Q000150:complications*