[Necrosis of the ligamentum teres hepatis and the anterior abdominal wall in acute pancreatitis].

The varying sites of extrapancreatic tissue necrosis in acute pancreatitis seldom include the anterior abdominal wall. In cases of liver enlargement causing a high portal pressure, the umbilical vein serves as a vent, shunting the portal blood through the teretic hepatic ligament to the anterior abdominal wall. Corticosteroids make the tissues even more susceptible to the activated pancreatic enzymes and are thus a contributing factor to the tissue necrosis. We describe a case of necrosis of the teretic hepatic ligament and the anterior rectus abdominis muscle following acute biliary pancreatitis.