Roux-en-Y loop jejunal necrosis: another pancreatitis associated enteropathy

Severe acute pancreatitis is frequently associated with systemic and local complications. Local sequelae include disorders of the stomach, duodenum, small and large bowel, collectively termed pancreatic enteropathies. We describe a patient with post-gastrectomy acute haemorrhagic pancreatitis which was complicated by necrosis and perforation of an intra-thoracic Roux-en-Y jejunal loop. This does not appear to have been previously reported.