DOI: https://doi.org/10.36347/sasjs.2026.v12i03.005

Pages: 204-206

A biliary stricture is defined as a narrowing of the extrahepatic or intrahepatic biliary system leading to impaired antegrade bile flow, upstream biliary dilatation, and pathological consequences of biliary obstruction. Biliary strictures represent a significant diagnostic and therapeutic challenge. A multidisciplinary approach is recommended to establish the diagnosis and guide management, integrating biochemical results, imaging findings, and histopathological assessment. Malignancy is the most common etiology, highlighting the need for a high index of suspicion during evaluation. We report the case of a 64-year-old man who presented with febrile jaundice and right upper quadrant pain. Magnetic resonance imaging revealed a benign-appearing stricture of the left hepatic duct associated with dilatation and intrahepatic lithiasis of the left biliary ducts. A left hepatectomy was performed, and histopathological examination confirmed a benign biliary stricture. The aim of this report is to describe the diagnostic and therapeutic management of left-sided biliary strictures and to emphasize that, despite the high frequency of malignant causes, benign etiologies should never be excluded a priori.