Ischemic Stricture of the Common Bile Duct Following Embolization of the Proper Hepatic Artery: A Case Report

Achiri Inass, Sahel Yassine and Mouaqit Ouadii

Department General Surgery, Hassan II University Hospital, Fès, Morocco

^*Correspondance to: Achiri Inass 

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Abstract:

Bile duct injuries represent a serious and challenging complication that could be caused by various mechanisms including inflammatory, tumoral, traumatic, ischemic or iatrogenic causes. These bile duct disruptions lead to strictures and stenosis of the common bile duct leading to redundant jaundice and recurrent episodes of cholangitis. We present in this article the case of a 63-year-old male patient that was hospitalized in our unit of general surgery at the Hassan 2 university hospital in Fez with a history of cholangitis due to an aneurysm of the proper hepatic artery fistulized into the biliary tract which was embolized in 2021. Since then, the patient was admitted a few times due to recurring episodes of cholangitis which were linked to an ischemic cicatricial stricture of the common bile duct following embolization of the proper hepatic artery. Given the diagnosis, the patient underwent a surgery which consisted of a hepaticojejunostomy on a Roux-en-Y limb (RYHJ). The article highlights the efficacy of surgery in the treatment of these bile duct injuries, while highlighting diagnostic challenges and the need for proper knowledge of the severe biliary complications after hepatic artery embolization resulting in common bile duct damage.

Keywords:

Common bile duct stenosis; Cholangitis; Hepaticojejunostomy; Hepatic artery embolization

Cite the Article:

Inass A, Yassine S, Ouadii M. Ischemic Stricture of the Common Bile Duct Following Embolization of the Proper Hepatic Artery: A Case Report. World J Surg Surgical Res. 2025; 8: 1609..