Abstract
A female patient had been diagnosed as having congenital biliary dilatation and treated by extrahepatic bile duct resection, cholecystectomy and biliojejunostomy at 5 months of age at the department of pediatric surgery. At 13 years of age, the patient was diagnosed as having postoperative hepatolithiasis. She was admitted to our hospital because of refractory cholangitis at 26 years of age. MDCT revealed multiple stones in the region of the local intrahepatic biliary dilatation of the left hepatic duct and B3, with anastomotic and bile duct strictures. We diagnosed postoperative hepatolithiasis and performed left hemihepatectomy with re-biliojejunostomy. The postoperative course was uneventful and no recurrence of hepatolithiasis was observed during the follow-up.
The present case was relatively rare, because postoperative hepatolithiasis is usually diagnosed around 10 years after the operation for congenital biliary dilatation. In the present case, hepatectomy was effective for complete resection of the region showing local intrahepatic biliary dilatation with anasotomotic and bile duct strictures.
