Common Hepatic Duct Stricture Due to Surgical Clip

An 84-year-old Caucasian man came in for follow-up endoscopic retrograde cholangiopancreatography (ERCP). He had been diagnosed with choledocholithiasis 6 months ago, which was treated with an ERCP and placement of a 10F × 7-cm plastic stent in the common bile duct. It was followed by a laparoscopic cholecystectomy a month later. An ERCP was performed after the cholecystectomy for stent removal, which showed stricture in the common hepatic duct (CHD). A repeat 10F × 7-cm plastic stent was placed during the procedure and brushings for cytology were negative.

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