case_images: PMC9078059_01
case_images: Coronal (left) and axial (right) views of abdominal Magnetic resonance imaging (MRI) at the time of admission
case_images: aaem-10-e21-g001.jpg
case_images: PMC9078059_01_aaem-10-e21-g001.jpg
case_images: F1
case_images: The magnetic resonance imaging (MRI) scan also suggested common bile duct perforation, with no clear sign of edematous or necrotizing pancreatitis (figure 1).
case_images: The operative findings of the reported case. The non-perforated common bile duct (left) and peripancreatic fat necrosis caused by necrotizing pancreatitis (right)
case_images: aaem-10-e21-g002.jpg
case_images: PMC9078059_01_aaem-10-e21-g002.jpg
case_images: F2
case_images: Unexpectedly, the cause was not an ERCP-related perforation (figure 2). Intraoperative findings revealed peripancreatic fat necrosis throughout the abdomen, severe inflammation in the head of the pancreas, and small residual common bile duct (CBD) stones (figure 2).