FIBROTIC STRICTURE OF THE EXTRAPANCREATIC BILIARY-TRACT - A NEW COMPLICATION OF ACUTE-PANCREATITIS - 2 CASES

Two cases of fibrotic stricture of the extrapancreatic common bile duc t were observed 3 and 5.5 months after severe acute alcoholic pancreat itis. The diagnosis was made by endoscopic retrograde cholangiography in both cases. Although colonic or ureteric stenosis have been reporte d after acute pancreatitis, this is the first report of extrapancreati c biliary stricture occurring after acute pancreatitis. The strictures could have arisen by either and enzymatic or ischemic mechanism. Outc ome was favorable after surgical hepaticojejunostomy.