PMC9078059_01
Coronal (left) and axial (right) views of abdominal Magnetic resonance imaging (MRI) at the time of admission
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F1
The magnetic resonance imaging (MRI) scan also suggested common bile duct perforation, with no clear sign of edematous or necrotizing pancreatitis (figure 1).
The operative findings of the reported case. The non-perforated common bile duct (left) and peripancreatic fat necrosis caused by necrotizing pancreatitis (right)
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F2
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).