Experience with duodenal necrosis - A rare complication of acute necrotizing pancreatitis

Duodenal necrosis is a rare, but very serious complication of acute necroti zing pancreatitis that most likely is the result of vascular compromise and ischemia of the peri-Vaterian aspect of the duodenal wall. In this article , we present three patients with duodenal necrosis complicating acute necro tizing pancreatitis. The diagnosis was made at the time of necrosectomy. Ma nagement options of this challenging complication of necrotizing pancreatit is are discussed.