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SAS Journal of Medicine | Volume-12 | Issue-05
Walled-Off Necrosis of the Pancreas Complicated by A Choledochopancreatic Fistula: A Case Report
K. Gharbi, H. Moustahfid, A.A. BAH, S. Soukrat, R. Akka, F. Fihri, S. Ben Elhnd
Published: May 18, 2026 | 18 12
DOI: https://doi.org/10.36347/sasjm.2026.v12i05.022
Pages: 487-490
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Abstract
In rare cases, acute pancreatitis (AP) may lead to severe, even life-threatening complications requiring surgical intervention. A biliopancreatic fistula may occur in this context and poses significant management challenges. We report the case of a 48-year-old male patient with a history of stage E acute pancreatitis. Six months later, the patient developed a large pancreatic necrotic collection (Walled-off necrosis, WON) complicated by a biliary fistula. The patient underwent a doublé biliary diversion with anastomosis. His postoperative course was uneventful, and his clinical condition was satisfactory after the procedure.