2016 Volume 36 Issue 5 Pages 947-951
A 33-year-old man was transferred to our hospital with injuries sustained in a traffic accident. He suffered from hemorrhagic shock secondary to right renal injury and emergent nephrectomy was performed. Eighteen days after the operation, percutaneous drainage of a collection of abdominal fluid caused by bile leakage from the Luschka duct was performed. On day 27 after the operation, the serum total bilirubin level increased, and MRCP and ERC revealed severe stenosis of the distal bile duct. Thus, the patient was diagnosed as having traumatic bile duct stricture. By 16 days later, the serum total bilirubin decreased to the normal range, and ERC showed improvement of the stricture. The patient was discharged on postoperative day 79. In many cases, traumatic biliary stricture occurs secondary to rupture of the bile duct and the subsequent fibrotic process. However, transient edema of the bile duct wall was considered to be the cause of the stricture in our present case, because the stricture resolved with conservative (observation only) management.
