Science Links Japan | BENIGN BILIARY STRICTURE CAUSED BY A GRANULOMA GROWING AROUND A LIGATURE OF THE CYSTIC DUCT 23 YEARS AFTER OPEN CHOLECYSTECTOMY.

BENIGN BILIARY STRICTURE CAUSED BY A GRANULOMA GROWING AROUND A LIGATURE OF THE CYSTIC DUCT 23 YEARS AFTER OPEN CHOLECYSTECTOMY.

Accession number;03A0692308

Title;BENIGN BILIARY STRICTURE CAUSED BY A GRANULOMA GROWING AROUND A LIGATURE OF THE CYSTIC DUCT 23 YEARS AFTER OPEN CHOLECYSTECTOMY.

Author;MIZUSHIMA TSUNEKAZU(Osakadai Daigakuin Zokiseigyogeka) YAMAGAMI YUKO(Osakarosaibyoin Geka) KAI YASUYUKI(Osakarosaibyoin Geka) YOSHIKAWA KIYOSHI(Osakarosaibyoin Geka)

Journal Title;Journal of Japan Surgical Association

Journal Code:Z0103A

ISSN:1345-2843

VOL.64;NO.9;PAGE.2252-2256(2003)

Figure&Table&Reference;FIG.5, REF.15

Pub. Country;Japan

Language;Japanese

Abstract;We present a rare case of foreign body reaction to a ligature causing benign biliary stricture. A 65-year-old man admitted to another hospital because of jaundice and appetite loss and pointed out a high level of serum total bilirubin in February 1997 was referred to the hospital for further examination. He had a past history of undergoing an open cholecystecomy for cholelithiasis in 1974. After admission to the hospital, an abdominal ultrasonography and an abdominal CT scan showed a dilatation of the intrahepatic bile ducts and a hilar mass, suggesting a possible diagnosis of bile duct cancer. The patient underwent a laparotomy, the findings of which revealed a hard mass 1.5cm in diameter at the hepatic hilus. A resection of the hilar mass including the left lobe of the liver and common bile duct was performed, followed by a hepaticojejunostomy to the right hepatic duct. A pathologic examination of the specimen revealed a granuloma growing around a ligature of the cystic duct. (author abst.)