Inflammatory Stenosis of the Main Bile Duct: A Case Report

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B. Daif
A. Elkarouachi
R. Boufettal
D. Reguibi
S. R. Jai
F. Chehab


Inflammatory stenosis of the main bile duct is rare and not well characterized. We report a 47-year-old male, in whom obstructive jaundice was caused by inflammatory stenosis of the main bile duct. The patient was admitted due to jaundice and an abdominal ultrasound revealed intrahepatic bile duct dilatation, distended gallbladder and a mass around the main bile duct. MRI revealed the mass in the site. We diagnosed this condition as main bile duct occlusion of unknown origin and considering this as emergency situation, we performed laparotomy. Segmental resection of the main bile duct and jejunal hepatic shunt on Y-branch were performed. Although image analyses suggested a mass lesion, histology confirmed nonspecific cholangitis.

Biliary stenosis, icterus, cholangiocarcinoma.

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Daif, B., Elkarouachi, A., Boufettal, R., Reguibi, D., Jai, S. R., & Chehab, F. (2020). Inflammatory Stenosis of the Main Bile Duct: A Case Report. Asian Journal of Research and Reports in Hepatology, 2(1), 10-13. Retrieved from
Case Study


Napoleon, Bertrand. Sténoses D’origine Indéterminée Des Voies Biliaires De L’adulte.

Santoro R, Santoro En, Ettorre GM, et al. Sténose inflammatoire de la convergence biliaire superieure mimant Une tumeur de klatskin. In: Annales De Chirurgie. Elsevier Masson. 2004;297-300.

Tummala, Pavan, Munigala, Satish, Eloubeidi, Mohamad A, et al. Patients with obstructive jaundice and biliary stricture±mass lesion on imaging: Prevalence of malignancy and potential Role of EUS-FNA. Journal of Clinical Gastroenterology. 2013;47(6):532- 537.

Hayat JO, Loew CJ, Asrress KN, et al. Contrasting liver function test patterns in obstructive jaundice due to biliary Structures and Stones. Qjm, 2005;98(1): 35-40.

Hadjis NS, Collier NA, Et Blumgart LH. Malignant masquerade at the hilum of the liver. British Journal of Surgery. 1985;72(8): 659-661.

Wakai, Toshifumi, Shirai, Yoshio, Sakata, Jun, et al. Clinicopathological features of benign biliary strictures masquerading as biliary malignancy. The American Surgeon, 2012;78(12):1388-1391.

Nguyen-Tang T, Frossard JL, Et Dumonceau JM. Prise en charge endoscopique des stenoses biliaires benignes. Rev Med Suisse. 2009;5:1714-9.

Chang, Kenneth J, Nguyen, Phuong, Erickson, Richard A, et al. The clinical utility of endoscopic ultrasound– guided fine-needle aspiration in the diagnosisand staging of pancreatic Carcinoma. Gastrointestinal Endoscopy, 1997;45(5):387-393.

Nakayama, Ataru, Imamura, Hiroshi, Shimada, Ryo, et al. Proximal bile duct stricture disguised as malignant Neoplasm. Surgery. 1999;125(5):514- 521.