1Sultan Alharbi

1King Saud University, Riyadh, Saudi Arabia


Case Report:

Two cases of post-operative biliary strictures with hepatolithiasis presented with recurrent cholangitis. First patient 59 year female patient post hepatico-jejunostomy for post biliary injury during cholecystectomy 20 years back. Second patient 41-year- old female patient post 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 the follow up both patients recovered well. No residual stenosis or intrahepatic stones on the follow up imaging.