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HPB Surgery
Volume 2009, Article ID 628197, 3 pages
http://dx.doi.org/10.1155/2009/628197
Case Report

Painless Obstructive Jaundice Secondary to a Common Bile Duct Abscess: A Delayed Sequela of Cholecystectomy

The Queen Elizabeth Hospital, University of Adelaide Discipline of Surgery, Woodville, South Australia, SA 5011, Australia

Received 14 September 2009; Revised 20 October 2009; Accepted 16 November 2009

Academic Editor: Guntars Pupelis

Copyright © 2009 Katherine Fairhurst et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Complications related to cholecystectomy are well described. Most occur in the early postoperative period and are recognised either at the time of, or shortly after surgery. Clinical sequelae occurring years following cholecystectomy are rare and infrequently reported. In addition, most delayed complications are related to the continuing presence or new formation of gallstones. In this paper we present a unique case of an abscess of the common bile duct wall, presenting with painless obstructive jaundice more than 30 years following an open cholecystectomy, without the presence of gallstones. The clinical presentation, investigations, and treatment are discussed with a review of other relevant reported cases in the literature.