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Delayed common bile duct obstruction in acute pancreatitis |
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| Authors: | Stephen J. Drewniak Stephen G. Gerzof R. Eugene Langevin Peter A. Banks |
| Affiliation: | (1) Department of Gastroenterology, St. Elizabeth's Hospital, 736 Cambridge Street, 02135 Boston, MA, U.S.A.;(2) Department of Radiology, St. Elizabeth's Hospital, 736 Cambridge Street, 02135 Boston, MA, U.S.A.;(3) Department of Radiology, Boston V. A. Medical Center, Boston, MA, U.S.A. |
| Abstract: | Summary Common bile duct obstruction during acute pancreatitis usually occurs in the early symptomatic phase of the illness, involves only the distal portion of the common bile duct, and subsides with clinical improvement. We present two cases of persistent common bile duct obstruction that developed 2–3 months after complete clinical subsidence of the initial episode of severe acute pancreatitis and involved a long segment of the common bile duct. After surgical decompression, there was no recurrence of common bile duct obstruction or pancreatitis. |
| Keywords: | Jaundice in acute pancreatitis Extrahepatic obstruction Transhepatic cholangiography |
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