Abstract
A 70-year-old man underwent a pancreatoduodenectomy for carcinoma of the distal common bile duct. A needle catheter jejunostomy was inserted as an adjunctive procedure, and enteral feeding was begun on the first postoperative day. On the seventh postoperative day, the patient had crampy abdominal pain, progressive distension, and tenderness with metabolic acidosis and leukocytosis. During an emergency laparotomy, intestinal full thickness necrosis was found involving the small bowel beginning at the jejunostomy tube insertion site and continuing for approximately 50 cm distally.
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