An 8-year-old male presented with an acute abdomen. Exploration revealed bi
lious ascites, oedematous pancreatitis with areas of necrosis, and omentum
showing patches of fat necrosis. The common bile duct and almost all of the
common hepatic duct were gangrenous and had sloughed, with bile leaking fr
om the junctional stump of the right and left hepatic ducts. The patient wa
s managed successfully by Roux-en-Y hepaticojejunostomy. This is a rare cas
e showing necrosis and sloughing of the extrahepatic bile ducts in acute pa
ncreatitis.