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.
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