INTRODUCTION

Whipple’s pancreaticoduodenectomy, a major surgical procedure with high morbidity and mortality rates is safest when done by experienced surgeons in high volume centres. It is often performed electively for carcinoma of the head of the pancreas or Ampulla of Vater, rarely for pancreaticoduodenal injuries and even rarer during surgery for an acute abdomen. Complications include anastomotic leaks and fistulae. We present a case of Whipple’s pancreaticoduodenectomy for a young woman presenting with acute abdominal pain at a rural hospital in Jamaica.