Inadvertent choledochotomy during Frey's procedure: management options.

Indian J Gastroenterol

Unit of Surgical Gastroenterology and Laparoscopic Surgery, St John's Medical College Hospital, Bangalore 560 034.

Published: April 2004

We report the occurrence of inadvertent injury to the intra-pancreatic common bile duct in 3 of 9 patients undergoing Frey's procedure for chronic pancreatitis with inflammatory mass in the head. In one case, the choledochotomy was extended and anastomosed to the cored-out parenchyma. In the other two, after lateral pancreatico-jejunostomy, hepatico-jejunostomy was performed using the same Roux loop.

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