Reoperation for post-operative recurrent cholangitis due to a defective hepatico-jejunal anastomosis

We report three cases of postoperative recurrent cholangitis due to a defec tive hepaticojejunal anastomosis. Causal diseases were alveolar echinococco sis of the liver alcoholic chronic pancreatitis, liver colorectal metastase s. Clinical presentation included major cholestasis and cachexia. Imaging e xplorations showed that cholangitis was due to an inversion of the Roux-en- Y jejunal loop which had been disposed in a wrong position. Clinical improv ement was remarkable after reoperation and replacement of the defective loo p in the right position. This exceptional cause of postoperative cholangiti s after Roux-en-Y hepaticojejunal anastomosis must be identified and treate d by prompt restorative surgery.