Delayed obstructive jaundice secondary to bullet in common hepatic duct.
A young male presented with obstructive jaundice and recurrent attacks of acute cholangitis. He had sustained gunshot wound in abdomen 9 years back. Laparotomy was done at that time and the bullet was found left within right lobe of liver, as it was inaccessible and possible benefit to take it out was considered less than leaving it in-situ. The patient recovered and did well for 7 years. After 7 years of latency, he developed recurrent attacks of acute cholangitis. The reason of this delayed presentation was probably the migration of the bullet from its original place to the biliary tree i.e. common hepatic duct.
Hussain
S M Abbas
SM
Department of General Surgery, Abbasi Shaheed Hospital (ASH), CDGK, Karachi, Pakistan.
Zulqurnain
Sikander
S
Saleem
Omema
O