Extra-hepatic biliary-ductal necrosis in acute pancreatitis: a rare complication

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.