Abstract
A 50-year-old woman was referred to our tertiary Hepato-Pancreato-Biliary (HPB) Surgery Center two years after undergoing a complex cholecystectomy (Mirizzi Syndrome Type 2) with T-Tube placement in the common bile duct after an episode of mild cholangitis. Cross-sectional imaging revealed sectoral dilatation of the right posterior bile duct. Focal intrahepatic strictures often present with vague symptoms such as fever, jaundice, or abdominal pain. A differential diagnosis based on the patient’s clinical history and basic imaging data should take into consideration iatrogenic and non-iatrogenic causes of segmental cholangiectasia. Given the difficulty in ruling out malignancy (which occurs in 50–70% of the cases of isolated cholangiectasia) a liver resection should be considered, since it can provide both the data necessary for a definitive diagnosis allowing an oncologically correct treatment plan.
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Cillo, U., Boetto, R., De Rose, A.M., Bassi, D., Ardito, F., Giuliante, F. (2017). Posterior Right Disconnected Bile Duct. In: Pawlik, T., Weber, S., Gamblin, T. (eds) Case-Based Lessons in the Management of Complex Hepato-Pancreato-Biliary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-50868-9_18
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DOI: https://doi.org/10.1007/978-3-319-50868-9_18
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