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Peer-reviewedCC BYClinical Case Reports

Pyloric Pseudonecrosis Caused by Biliary Peritonitis: A Rare Intraoperative Pitfall

  • Christian Mouawad1
  • Dollen Eid2
  • Nehad Dager2
  1. 1Department of Digestive Surgery, Hôtel‐Dieu de France Hospital Saint Joseph University's Faculty of Medicine Beirut Lebanon
  2. 2Department of Digestive Surgery Centre Hospitalier Intercommunal de Villeneuve‐Saint‐Georges Greater Paris Metropolis France
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Abstract

Biliary peritonitis can cause subserosal bile staining that mimics pyloric or duodenal necrosis. When endoscopy or ICG fluorescence is unavailable, pseudonecrosis remains an operative diagnosis of exclusion, supported by preserved serosal integrity, absence of visible perforation, careful inspection, and uneventful 1‐month follow‐up.

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Cite

BibTeXRIS
BibTeX
@article{mouawad2026pyloric,
  title = {{Pyloric Pseudonecrosis Caused by Biliary Peritonitis: A Rare Intraoperative Pitfall}},
  author = {Christian Mouawad and Dollen Eid and Nehad Dager},
  journal = {Clinical Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1002/ccr3.73636},
  url = {https://doi.org/10.1002/ccr3.73636},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Pyloric Pseudonecrosis Caused by Biliary Peritonitis: A Rare Intraoperative Pitfall
AU  - Christian Mouawad
AU  - Dollen Eid
AU  - Nehad Dager
PY  - 2026
DA  - 2026/10/23
JO  - Clinical Case Reports
DO  - 10.1002/ccr3.73636
UR  - https://doi.org/10.1002/ccr3.73636
AB  - Biliary peritonitis can cause subserosal bile staining that mimics pyloric or duodenal necrosis. When endoscopy or ICG fluorescence is unavailable, pseudonecrosis remains an operative diagnosis of exclusion, supported by preserved serosal integrity, absence of visible perforation, careful inspection, and uneventful 1‐month follow‐up.
SN  - 2050-0904
ER  -