Fig. 2

The intraoperative findings of emergent surgery: a The reconstructed jejunal loop became congested severely and appeared to be ischemic but not necrotic (white arrows). b The degrees of inflammation around pancreaticojejunostomy and hepaticojejunostomy were still very mild, and there were no signs of pancreatic fistula and bile leakage. Therefore, we performed the removal of the ischemic intestine and re-anastomoses of the biliary and pancreatic ducts all at once. c The gastrojejunostomy had no problem and did not need to be re-anastomosed