caa a22 4500 606246541 CHVBK 20210128101340.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s12262-014-1168-5 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1168-5 Inadvertent Ligation of the Main Pancreatic Duct: an Extremely Rare Complication of Choledochal Cyst Excision [Elektronische Daten] [Sukanta Ray, Sujan Khamrui] Pancreatic ductal injury is rare during choledochal cyst excision. Most cases present in the immediate postoperative period with pancreatic fistula or acute pancreatitis are managed conservatively. But, inadvertent ligation of the main pancreatic duct with subsequent recurrent pancreatitis and upstream dilatation of the pancreatic duct requiring a pancreatic ductal drainage operation has not been reported in the English literature. A 23-year-old female patient presented with recurrent episodes of upper abdominal pain for about 16months. She had a history of type-1 choledochal cyst excision 18months back. She was evaluated with abdominal ultrasound and magnetic resonance cholangiopancreatography (MRCP). MRCP showed hugely dilated main pancreatic duct with normal hepaticojejunostomy anastomosis. There was no residual cyst. MRCP findings were suggestive of stricture of the main pancreatic duct due to previous surgery. Endoscopic pancreatic ductal decompression failed. The patient was treated successfully with pancreaticogastrostomy. Postoperative recovery was uneventful. The patient was well at 24-month follow-up. Association of Surgeons of India, 2014 Pancreatic duct nationallicence Choledochal cyst nationallicence MRCP nationallicence Pancreaticogastrostomy nationallicence Ray Sukanta Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Khamrui Sujan Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut Indian Journal of Surgery Springer India 77(2015-04-01), 92-93 0972-2068 77<92 2015 77 12262 https://doi.org/10.1007/s12262-014-1168-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1168-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ray Sukanta Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Khamrui Sujan Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, 700020, Kolkata, West Bengal, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-04-01), 92-93 0972-2068 77<92 2015 77 12262