title: Foreign body reaction to a metal clip causing a benign bile duct stricture 16 years after open cholecystectomy: report of a case.
abstract: We present herein a case where a benign bile duct stricture developed 16 years after an open cholecystectomy and without any prior symptoms. The patient was thought to have a Klatskin tumor both pre- and intraoperatively and was treated with a resection of the mass and bile duct confluence, while hepaticojejunostomies were also performed to both ducts separately. A pathologic examination of the specimen revealed extensive fibrosis, chronic inflammation, and a nonnecrotizing granulomata. Any hilar mass presenting after upper abdominal surgery should therefore be considered to be potentially a benign bile duct stricture, even with a long symptom-free interval.
authors.affiliation: Department of Surgery, Yale University School of Medicine, New Haven, CT 06520-8062, USA.
authors.forename: S
authors.initials: S
authors.lastname: Bayar
authors.forename: R
authors.initials: R
authors.lastname: Saxena
authors.forename: R R
authors.initials: RR
authors.lastname: Salem
mesh_terms: D001649:Bile Duct Diseases / Q000209:etiology*; D001650:Bile Duct Neoplasms / Q000175:diagnosis; D002763:Cholecystectomy; D003251:Constriction, Pathologic / Q000209:etiology; D005260:Female; D005549:Foreign-Body Reaction / Q000150:complications* / Q000209:etiology; D006500:Hepatic Duct, Common; D006801:Humans; D018285:Klatskin Tumor / Q000175:diagnosis; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D013525:Surgical Instruments; D013997:Time Factors