Traumatic biliary stricture successfully treated by percutaneous transhepatic bile duct dilatation: A case report

A 24 year-old woman complained of obstructive jaundice 24 days after blunt abdominal trauma due to a traffic accident. Endoscopic retrograde cholangio pancreatography (ERCP) revealed a stricture, 15mm in length, at the common bile duct associated with upper bile duct dilatation. Jaundice was reduced by percutaneous transhepatic cholangio-drainage (PTCD). A 7 Fr-sized PTCD t ube was exchanged for a larger-sized catheter for percutaneous transhepatic cholangioscopy expecting gradual dilatation of the stricture. Following th e confirmation of satisfactory dilatation of the stricture, the catheter wa s removed. There was no recurrence of jaundice 16 months later in a follow- up study.