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Manoucher Fallah-Nejad, MD; William E. DeMuth, Jr., MD; William S. Blakemore, MD

AMA Arch Surg. 1971;102(5):455-458.

Abstract
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.

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).

Footnotes
Accepted for publication Dec 4, 1970.

Reprint requests to Department of Surgery, Graduate Hospital, University of Pennsylvania, 19th and Lombard streets, Philadelphia 19146 (Dr. Fallah-Nejad).

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