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.
Journal of Surgical Case Reports
|May 17, 2021
Summary
Walled-off pancreatic necrosis surgery can lead to rare bile leaks. This case highlights successful endoscopic stenting for a delayed distal common bile duct leak after pancreatic necrosectomy.
Area of Science:
- Gastroenterology
- Surgical Complications
- Interventional Endoscopy
Background:
- Pancreatic necrosectomy, a procedure for walled-off pancreatic necrosis, carries substantial risks.
- Postoperative bile leak is an infrequent but serious complication following pancreatic necrosectomy.
Observation:
- An 81-year-old female patient developed a delayed bile leak.
- The leak originated from the distal common bile duct after undergoing pancreatic necrosectomy.
Findings:
- The rare complication of delayed distal common bile duct leak was diagnosed.
- Successful management was achieved using endoscopic stenting.
Implications:
- Endoscopic stenting offers a viable treatment option for rare postoperative bile leaks.
- This case expands understanding of managing complex surgical complications in pancreatic surgery.
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