EUS-guided choledochoduodenostomy as a rescue after failed ERCP and percutaneous transhepatic biliary drainage in the management of postoperative benign biliary stricture.

Abstract

A 34-year-old woman presented with a 4-month history of obstructive jaundice. She had undergone complicated cholecystectomy and common bile duct exploration 5 years earlier. She underwent surgical choledochoduodenostomy (CDS) for recurrent biliary obstruction 5 months after the first surgery. She was asymptomatic until 4 months earlier, when she presented with obstructive jaundice and cholangitis. Magnetic resonance cholangiopancreatography showed a smooth common hepatic duct stricture, intrahepatic stones and bilateral intrahepatic biliary radicle (IHBR) dilatation.