Post-pancreatic necrosectomy biliary fistula: thinking beyond the box
Narendra Pandit1, Laligen Awale1, Kunal Bikram Deo1
1Division of Surgical Gastroenterology, Department of Surgery, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.
Abstract:
Walled-off pancreatic necrosis is a challenging problem and pancreatic necrosectomy is associated with significant morbidity and mortality. Following necrosectomy, postoperative bile leak is a rare complication. We present such a case of delayed bile leak from the distal common bile duct in an 81-year-old lady following pancreatic necrosectomy, which was successfully managed by endoscopic stenting.
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