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May 1971

Inflammatory Stricture of the Common Bile Duct

Author Affiliations

Philadelphia; Carlisle, Pa; Philadelphia
From the Department of Surgery, Graduate Hospital, University of Pennsylvania, Philadelphia (Drs. Fallah-Nejad and Blakemore), and the Department of Surgery, Carlisle (Pa) Hospital (Dr. DeMuth).

Arch Surg. 1971;102(5):455-458. doi:10.1001/archsurg.1971.01350050021006

Inflammatory strictures of the common bile duct are rare. Their occurrence in three patients was unexpected preoperatively and their identification was exceedingly difficult intraoperatively, requiring duodenotomy in each case. Cholecystectomy and the insertion of a tube through the strictured area resulted in cure in all three. Although the common duct appeared to be severely damaged by the process, this experience seems to indicate that resection of the strictured area is not warranted. Ductal decompression and removal of the inflammatory process by cholecystectomy and choledocholithotomy should be performed when indicated.