Post-operative biliary stricture
A 45 year old female was operated for cholelithiasis 3 months back. She had undergone cholecystectomy. Patient returned to the surgical outpatient department with jaundice and abdominal pain, with on and off fever.
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MRI and MRCP images reveal an 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.