title: [Biliary perforations caused by acute pancreatitis: considerations apropos of a case of necrosis of the intrapancreatic choledochus caused by acute cephalopancreatitis secondary to a transduodenal sphincterotomy].
abstract: The AA. refear a case of massive necrosis of intrapancreatic biliary tract secondary to an acute necrotizing postoperative cephalopancreatitis. The high mortality lesion risk was successfully treated by many factors: surgicals and medicals. The AA. think that the wise use of Somatostatine was the most important factor.
mesh_terms: D000208:Acute Disease; D014670:Ampulla of Vater / Q000601:surgery*; D002763:Cholecystectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010182:Pancreatic Diseases / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D010183:Pancreatic Ducts / Q000473:pathology* / Q000601:surgery; D010185:Pancreatic Fistula / Q000188:drug therapy; D010195:Pancreatitis / Q000150:complications*; D012422:Rupture, Spontaneous; D013004:Somatostatin / Q000627:therapeutic use; D009803:Sphincter of Oddi / Q000601:surgery*
chemical_list: D013004:Somatostatin
vernacular_title: Perforazioni biliari da pancreatite acuta: considerazioni a proposito di un caso di necrosi del coledoco intrapancreatico da cefalopancreatite acuta secondaria a sfinterotomia transduodenale.