A Case of Left Hepatectomy for Left Hepaticojejunostomy Stricture after Operation for Congenital Bile Duct Dilatation

Hideo Kidogawa, Shigehiko Ito, Takatomo Yamayoshi and Hiroyuki Yamaguchi*

Department of Surgery, Kitakyushu City Yahata Hospital
Department of Surgery, Isahaya Health Insurance General Hospital*

We report a case of left hepatectomy for hepaticojejunostomy stricture 5 years after surgery for congenital bile duct dilatation. A 16-year-old woman underwent left and right hepaticojejunostomy at the age of 11 years, because the left hepatic duct communicated directly with the choledocal cyst. About 4 years after the operation, she suffered repeated cholangitis due to hepaticojejunostomy stricture. Preoperative ultrasonography, computed tomography (CT) and MRCP showed dilatation of the intrahepatic bile duct but no intrahepatic stone. In intraoperative findings, the left hepaticojejunal anastomosis was almost completely obstructed. Histologically, the left intrahepatic bile duct was dilated and constricted irregularly. The bile duct wall was thickened with significant fibrosis. The postoperative course was uneventful and the patient is doing well.

Key words
congenital bile duct dilatation, hepaticojejunostomy, hepatectomy

Reprint requests
Hideo Kidogawa Department of Surgery, Kitakyushu City Yahata Hospital
4-18-1 Nishihonmachi, Yahata Higashi-ku, Kitakyushu, 805-0061 JAPAN

Accepted
January 28, 2009

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