Abstract
The authors present a case of 48-year-old patient who was treated for jaundice caused by bile duct stenosis - Bismuth type IV in the liver hilus. At another institution evaluated as inoperable, by intraoperative biopsy histologically was not confirmed cancer, brachytherapy has been carried out via PTD, which was also the establishment of a permanent external drainage of the liver.
The CT scan showed atrophy of the left liver lobe due to impairment and closure of the left portal vein. The patient was sent to our dpt. in December 2006, we performed left hepatectomy with resection of the right bile duct and liver segment SI.
Histological examination did not confirmed malignancy or sclerosing cholangoitis in resected bile duct. The patient is in without relapse during follow-up.