Bile Pancreatitis

Bile pancreatitis is observed in cases of cholelithiasis and abnormal pancreatic choledochoductal junctions. The degeneration/disappearance of pancreatic ductal epithelium is often seen in this type of pancreatitis [15]. Intraluminal aggregation of bacilli may be noted in some pancreatic ducts. Fibrosis progresses periductally and interlobularly (fig. 2), and in this type of pancreatitis, is generally mild and less progressive [16].

Fig. 2. Bile pancreatitis. Fibrosis is distributed periductally and extends to the interlobular spaces. Most of the pancreatic ductal epithelium has been lost due to the damage (choledochal cyst in a 52-year-old female). HE. X20.

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