Late complications of the inadequate biliary surgery in patients with primary sclerotising cholangitis

Introduction: Primary sclerotising cholangitis (PSC) is a severe inflammatory disease that can involve both the intrahepatic and extrahepatic biliary ducts. Therefore every operation concerning the biliary area should be preceded by careful work-up to prevent unnecessary surgery. Case1: A 31yrs old male was admitted to our department because of highly elevated liver enzymes. PSC was diagnosed at age of 13yrs. Until now ulcerative colitis has not been verified. Cholecystectomy and choledocho-duodenostomy was performed by mistake when the patient was 18yrs old. In the past 13yrs repeated attacks of cholangitis hav…