Post Hep Biliary Obstruction| Stricture

Etiology

  • Common bile duct stricture from prior episodes pancreatitis (fibrosis around CBD)
  • Prior ERCPs w/cannulation, infections, stones

Symptoms

  • N
  • V
  • Upper abdominal pain
  • Sepsis if infection proximal to the stones
  • Pancreatitis symptoms if also obstructs pancreatic duct
  • Can also cause painless jaundice

Physical Exam Findings

  • Jaundice
  • Icterus
  • Bilirubinuria
  • Light colored stools
  • Sometimes pain w/palpation
  • Sometimes F and findings of sepsis