Abstract
This 62-year-old female patient presented to surgical outpatients with features of obstructive jaundice ten years following radiotherapy for renal cell carcinoma. Investigations demonstrated an apparently benign mid common bile duct (CBD) stenosis. The lesion was stented giving temporary relief but subsequent blockage necessitated a hepaticojejunostomy with Roux-en-Y. Pathological examination of the excised CBD showed the presence of widespread chronic inflammation and fibrosis most likely secondary to radiation. No malignancy was found. Reports of these fibrotic stenoses remain rare in the literature; we discuss the investigation and management of these difficult diagnostic challenges.
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