Abstract
We reported here a case of congenital biliary dilation which underwent pancreatoduodenectiomy for pancreatitis and hepatectomy for hepatolithiasis after excision of the extrahepatic bile duct and reconstruction.
The patient is a 72-year-old woman. She underwent excision of the extrahepatic bile duct and hepaticojejunostomy in 1973. She underwent pancreatoduodenectomy for pancreatitis caused by residual cyst in the pancreas head in 1980. CT and MRCP revealed stenosis of the left hepatic duct and intrahepatic calculi for abdominal pain in 2007. The cytology of the bile juice revealed classIV. She was given a diagnosis of the hepatolithiasis and suspected intrahepatic cholangiocarcinoma and underwent left hepatectomy. Macroscopic findings showed membranous stenosis of the left hepatic duct. Pathological findings revealed fibrous stroma at the site of stenosis and yielded a diagnosis of benign stricture of the hepatic duct.
