Figure 6.

34-year-old male with recently diagnosed pancreatic adenocarcinoma located in the pancreatic head underwent pancreaticoduodenectomy. The patient presented with abdominal distention and fever 5 days after the surgery. Also noted was bilious fluid drainage from the surgical drain. (a) Axial plane post-contrast CT image shows a collection in the surgical bed extending to the left side wall of the abdomen (arrowheads). Subsequent percutaneous cholangiography and drainage were performed. (b) Cholangiography demonstrated anastomotic leakage at the choledocojejunostomy site (arrows). On 2 weeks of follow-up after external drainage, the drainage continued but the amount of bilious fluid coming from the surgical drain dropped significantly. (c) A covered biliary stent implanted and cholangiography showed no biliary leakage.