Surgical repair of a false bile-duct passage after percutaneous transhepatic cholangiography in a patient with biliary stenosis after cholecystectomy.

An 84-year-old patient had undergone laparoscopic cholecystectomy for acute cholecystitis. Six months later, she was diagnosed with stenosis of the main bile duct. Endoscopic retrograde cholangiopancreatography could not bridge the stenosis, so percutaneous transhepatic cholangiography was used to pass through to the duodenum with a false passage (Fig. 1). Surgery confirmed the presence of the false passage and extensive stenosis of the proximal third of the bile duct (Figs. 2 and 3). Hepaticojejunostomy was performed. The postoperative course was favorable and the patient was discharged on the 7th day postop. Cholangio-MRI done one month later confirmed the permeability of the anastomosis (Fig. 4). c i r e s p . 2 0 1 4 ; 9 2 ( 5 ) : e 2 1