Foreign body reaction to a metal clip causing a benign bile duct stricture16 years after open cholecystectomy: Report of a case

We present herein a case where a benign bile duct stricture developed 16 ye ars after an open cholecystectomy and without any prior symptoms. The patie nt was thought to have a Klatskin tumor both pre- and intraoperatively and was treated with a resection of the mass and bile duct confluence. while he paticojejunostomies were also performed to both ducts separately, A patholo gic examination of the specimen revealed extensive fibrosis, chronic inflam mation, and a nonnecrotizing granulomata, Any hilar mass presenting after u pper abdominal surgery should therefore be considered to be potentially a b enign bile duct stricture, even with a long symptom-free interval.