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Post-operative biliary stricture

Case contributed by Praveen Jha
Diagnosis almost certain

Presentation

Cholecystectomy for cholelithiasis 3 months ago. The patient returned to the surgical outpatient department with jaundice, abdominal pain, and episodic fevers.

Patient Data

Age: 45 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Abrupt smooth cut-off of common hepatic duct approximately 1 cm from the hilar confluence. There is proximal dilatation of intrahepatic biliary tree.

Note is also made of a collection in the region of gallbladder fossa, suggesting postoperative biloma.

Case Discussion

A diagnosis of postoperative type II biliary stricture with biloma was made.

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