Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation

Abstract

Obstructive jaundice due to pancreatic stone is very rare. We report a case of obstructive jaundice in a patient with chronic pancreatitis, occurring due to the pancreatic stone getting impacted at the ampulla and subsequently, leading to gallbladder perforation, without any dilatation of the biliary tree. This could be explained due to the lower insertion of the cystic duct. Such instances can be managed with percutaneous tube cholecystostomy, endoscopic retrograde cholangiopancreatography, pancreatic stone extraction, and stenting of both the main pancreatic duct and the common bile duct.

Keywords

• cholecystostomy
• cystic duct
• gallbladder perforation
• pancreatic stone
• pancreatitis