Percutaneous Management of Hepatolithiasis Secondary to Postoperative Biliary Strictures

Two cases of postoperative biliary strictures with hepatolithiasis presented with recurrent cholangitis. First patient was 59-year-old female with hepaticojejunostomy for postbiliary injury during cholecystectomy 20 years back. Second patient was 41-year-old female with cholecystectomy 17 years back without immediate complication. Both patients underwent imaging MRI and MRCP confirming intrahepatic biliary ducts stones and biliary strictures. Percutaneous access of dilated stone-filled intrahepatic duct gained, strictures dilated, stones crushed, and flushed into the bowel. Both patient had biliary drain insertion and had multiple cholangiograms with biliary stricture dilation sessions. On follow-up, both patients recovered well. No residual stenosis or intrahepatic stones on the follow-up imaging observed.

Publication History

Article published online:
14 December 2021