Tessa Oktaramdani*, Ari Fahrial Syam**, Dadang Makmun**

*Department of Internal Medicine, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta

**Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta

ABSTRACT

Iatrogenic bile duct stricture is the most common causes of benign bile duct stricture. Several studies reported that approxiamately 80% of benign strictures occur following injury during a cholecystectomy. Strictures of the biliary tract have a broad spectrum of manifestations, ranging from mild elevation of liver enzymes to life threatening infections such as cholangitis, liver abscess, and biliary cirrhosis. Moreover, due to its indolent course with subtle clinical manifestations, diagnosis is often delayed and most patients present with a protracted, complicated course. We reported a case of 26 years old female with recurrent cholangitis due to iatrogenic bile duct stricture. Biliary drainage through endoscopic approach followed by surgical procedure was selected as strategic management for the patient.

Keywords: bile duct stricture, cholangitis, endoscopy, surgery

Indones J Gastroenterol Hepatol Dig Endosc Vol.16, No.3, December 2015 (FULL TEXT)