An impossible biliary drainage? Fistulization of a degenerated intraductal papillary mucinous pancreatic neoplasm to the common bile duct.

CT and MR imaging features of fistulas from intraductal papillary mucinous neoplasms of the pancreas to adjacent organs: a retrospective study of 423 patients. An abdominal-pelvic computed tomography scan found major dilation of the common bile duct (measuring 27 mm) and of the main pancreatic duct (12 mm). B Video 1 b Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography, showing dilation of the bile and pancreatic ducts by mucinous material, initial drainage, and subsequent placement of two double-pigtail plastic stents. [Extracted from the article]