Hepatolithiasis followed by recurrent cholangitis as a consequence of inadequate hepaticojejunostomy for common bile duct injury

Introduction. Hepatolithiasis (HL) is defined as gallstones present in bile ducts above the common duct confluence, regardless of coexistence other parts biliary tract. HL among patients with recurrent pyogenic cholangitis. Chronic infection can lead to development malignancy. Case outline. A 65-year-old woman presented intermittent fever, jaundice, abdominal pain, and nausea. Eighteen years previously, patient had an open cholecystectomy due acute cholecystitis. During early post-operative days, developed icterus. Intrahepatic ductal dilatation was confirmed by ultrasound. Due suspicion iatrogenic injury, underwent a second operation, during which said injury confirmed. ?Non-Roux-en-Y? hepaticojejunostomy (HJ) performed problem-resolving procedure. Despite bypass, continued have episodes cholangitis over 18 years. Given patient?s symptoms results MRI consistent HL, surgical treatment indicated. left hepatectomy performed, Roux-en-Y HJ reconstruction. The course uneventful, after has been symptom-free. Conclusion. main purpose treating eliminate leads subsequent hepatic fibrosis. Adequate solution decreases need for repeated interventions prevents progression disease cholangiocarcinoma.