A CASE OF DELAYED-ONSET BILE DUCT STENOSIS AFTER LAPAROSCOPIC CHOLECYSTECTOMY RESPONDING TO INTERNAL BILIARY DRAINAGE

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  • ＰＴＣＤによる内瘻化が奏効した腹腔鏡下胆嚢摘出術後の遅発型胆管狭窄の１例

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Abstract

We report a case of obstructive jaundice due to delayed-onset bile duct stenosis after laparoscopic cholecystectomy responding to internal biliary drainage following PTCD.<br> A 42-year-old woman was seen at our hospital because of nausea and appetite loss about one month after laparoscopic cholecystectomy for cholelithiasis. The patient was admitted to the hospital because hyperbilirubinemia and liver dysfunction were noted. Abdominal magnetic resonance imaging scan showed a stenosis at the cystic ductal portion of the common bile duct, and then we performed PTCD and internal biliary drainage. An about one month later, the stenotic lesion showed a gradual relief and it was completely relieved about 4 months after the initial biliary drainage. Thereafter the patient has been recurrence free for about one year.<br> We speculated that the stenosis of the common bile duct in this patient might be caused by rather secondary sclerosing cholangitis due to the obstruction of the blood stream of bile duct wall or traumatic neurinoma of the bile duct than some bile duct injury or clipping at the operation.

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