Successful endoscopic treatment of biliary stricture following mesenteric tear caused by blunt abdominal trauma

Figure 1 Abdominal CT scan findings. A: Dilated intra- and extrahepatic bile ducts; B: Abrupt cut-off of the distal common bile duct.

Figure 2 ERCP findings. A: Stenosis of the distal CBD, approximately 1 cm in length, located just above the pancreas, with ductal dilatation above the narrowed portion; B: Biopsy of the stricture was obtained.

Figure 3 ERCP findings. A: The CBD was dilated with TTS balloons, but the dilatation was not effective; B: An Amsterdam-type plastic stent (12Fr, 7 cm) was placed across the stricture.

Figure 4 Follow-up ERCP findings. A: Improvement of the CBD stricture; B: There is normal passage of radiocontrast material into the bile duct through the papilla.