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Case Reports in Medicine
Volume 2010 (2010), Article ID 436739, 3 pages
Case Report

Pancreatic Anastomosis Disruption Seven Years Postpancreaticoduodenectomy

HPB and Liver Transplant Unit, Department of Surgery, American University of Beirut Medical Center, 961 Beirut, Lebanon

Received 6 April 2010; Revised 7 June 2010; Accepted 19 July 2010

Academic Editor: William B. Silverman

Copyright © 2010 Walid Faraj et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We are reporting a case of a 22 year-old female patient, who underwent a pancreaticoduodenectomy previously for a solid-pseudopapillary neoplasm of the pancreas and was re-admitted seven years later with a pancreatic leak following disruption of the pancreatico-jejunal anastomosis. Exploratory laparotomy revealed a large collection at the level of the pancreatic anastomosis with major disruption of the pancreatico-jejunal anastomosis. The pancreatic stump was refreshed as well as the jejunal site and a duct to mucosa anastomosis was performed. She remains well with a follow up of 18 months.