The use of a pedicalised gallbladder graft to repair a large duodenal defect: a case report and review of the literature.

Anoja Wijeratne, Jonathon Gani


Large or complex duodenal defects are uncommon but can arise in a variety of clinical contexts and present a technical challenge to manage. We present the case of severe necrotising pancreatitis complicated by necrosis of the distal stomach and proximal duodenum. The resulting large duodenal defect was not amenable to closure with conventional methods but was successfully repaired with a novel technique of cholecystoduodenoplasty. To our knowledge, successful repair of a large duodenal defect using the gallbladder as a full thickness pedicled graft for acute duodenal necrosis has not been previously described in the literature.


cholecystoduodenoplasty; pedicled gallbladder; duodenal defects

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