Abstract
A 45-year-old man had been suffered from recurrent cholangitis and biliary stones since 1985, when he underwent EST for choledocholithiasis. Percutaneous transhepatic cholangiogram revealed intrahepatic bile duct stricture of the left hepatic duct and hepatolithiasis in the dilated B3duct. Because of his refusal of operation, he was treated with lithotomy under percutaneous transhepatic cholangioscopy followed by the placement of a WallstentTM. However, he had recurrence of choledocho-hepatolithiasis again in 1999. Finally, we performed left lateral segmentectomy of the liver. This case indicated the importance of careful examination of the biliary tract before EST to exclude biliary stricture. Moreover, benign intrahepatic bile duct stricture with previously endoscopic papillotomy should be treated by operation, not interventional procedures to avoid stent related trouble.
