en Radiology Radiology case report case report <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background:</span></i></b> Percutaneous Trans hepatic biliary drainage (PTBD) is a successful palliative treatment for malignant obstructive jaundice. Despite the past that PTBD complications occur more frequently. Currently, with the help of an ultrasound guide, these side effects and possibility of adjacent organ damages have decreased interestingly. One of the rare complications of this procedure is acute pancreatitis. </span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Case Presentation:</span></i></b> We discuss an uncommon case of acute pancreatitis following PTBD in an elderly woman who presented to the hospital with jaundice and anorexia. Conservative therapy without decatheterization was the treatment of choice in our patient. Eventually after receiving conservative therapy for her pancreatitis, she was discharged from the hospital in good general condition and she has not experienced any episodes of abdominal pain again.</span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Conclusion:</span></i></b><b> </b>Acute pancreatitis is one of the causes of sepsis during PTBD catheterization. Early management of this complication after PTBD can decrease morbidity and mortality of the patients.</span></span></span><br> &nbsp; Keywords: acute pancreatitis (AP), malignant obstructive jaundice (MOJ), percutaneous trans-hepatic biliary drainage (PTBD), sepsis 174 177 http://caspjim.com/browse.php?a_code=A-10-2823-2&slc_lang=en&sid=1 Amirhosein Ghafouri Asbagh aghafouri98@gmail.com 100319475328460050614 100319475328460050614 No Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Zahra Mohammadi Yushanluee Z.mohammadi.1994@gmail.com 100319475328460050615 100319475328460050615 No Department of Radiology, Imam Reza Teaching Hospital, Tabriz University of Medical Sciences, Tabriz, Iran Arash Khameneh Bagheri drkhameneh@sbmu.ac.ir 100319475328460050616 100319475328460050616 No Department of Radiology, Shahid Beheshti University of Medical Sciences, Shohadaye Tajrish Hospital, Tehran, Iran Mehran Malekshoar M_malekshoaar@yahoo.com 100319475328460050617 100319475328460050617 No Masih Daneshvari Hospital, Department of radiology, faculty of medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Payam Bafandeh Tiz Payam.restij@gmail.com 100319475328460050618 100319475328460050618 No Department of Medicine, Tabriz branch of Islamic Azad University, Tabriz, Iran Javad Jalili javadjalili1979@gmail.com 100319475328460050619 100319475328460050619 Yes Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran