Postoperative bile duct stricture
Laparoscopic cholecystectomy for cholelithiasis two weeks ago, presented with obstructive jaundice and pruritis.
Loading Stack -
0 images remaining
Moderate dilatation of the intrahepatic biliary ducts with an abrupt smooth cutoff 1 cm distal to the biliary bifurcation most likely due to a ligation injury during surgery. A T2 hypointense artifact is seen at the missing segment of the common hepatic duct corresponding most likely to a surgical clip. The common bile duct appears of normal size.
MRI appearances are suggestive of an iatrogenic postoperative bile duct stricture type II (less than 2 cm from the biliary bifurcation) according to Bismuth classification