title: Extra-hepatic biliary-ductal necrosis in acute pancreatitis: a rare complication.
abstract: An 8-year-old male presented with an acute abdomen. Exploration revealed bilious ascites, oedematous pancreatitis with areas of necrosis, and omentum showing patches of fat necrosis. The common bile duct and almost all of the common hepatic duct were gangrenous and had sloughed, with bile leaking from the junctional stump of the right and left hepatic ducts. The patient was managed successfully by Roux-en-Y hepaticojejunostomy. This is a rare case showing necrosis and sloughing of the extrahepatic bile ducts in acute pancreatitis.
authors.affiliation: Department of Surgery, PGIMS, Rohtak, Haryana, India.
authors.forename: J C
authors.initials: JC
authors.lastname: Dhall
authors.forename: S
authors.initials: S
authors.lastname: Marwah
authors.forename: R B
authors.initials: RB
authors.lastname: Singh
authors.forename: N
authors.initials: N
authors.lastname: Marwah
authors.forename: S K
authors.initials: SK
authors.lastname: Mathur
mesh_terms: D000208:Acute Disease; D000713:Anastomosis, Roux-en-Y; D002648:Child; D003135:Common Bile Duct / Q000473:pathology*; D005218:Fat Necrosis; D006500:Hepatic Duct, Common / Q000473:pathology*; D006801:Humans; D008297:Male; D009336:Necrosis; D009852:Omentum / Q000473:pathology; D010195:Pancreatitis / Q000150:complications*; D019275:Radiopharmaceuticals; D019785:Technetium Tc 99m Disofenin
chemical_list: D019275:Radiopharmaceuticals; D019785:Technetium Tc 99m Disofenin