Obstructing phytobezoar of an intrahepatic bile duct.
Drainage of a choledochal cyst with a cystogastrostomy allowed food to reflux into the liver, where it obstructed a major right hepatic duct and produced recurrent cholangitis. Partial hepatectomy was necessary for relief. Drainage of choledochal cysts with a long Roux-en-Y loop seems advisable.
D000328:Adult; D001630:Bezoars / Q000150:complications*; D001653:Bile Ducts, Intrahepatic; D002761:Cholangitis / Q000209:etiology*; D003560:Cysts / Q000601:surgery; D005260:Female; D006801:Humans; D008099:Liver / Q000601:surgery; D008107:Liver Diseases / Q000601:surgery; D011183:Postoperative Complications