Iatrogenic choledochal stricture with choledochopancreatic fistula and pseudocyst.

During routine cholecystectomy, a 39-year-old woman suffered an injury to the common bile duct, which resulted in a choledochal stricture and a choledochopancreatic fistula with pseudocyst formation. Treatment consisted of a choledochoduodenostomy for the common bile duct stricture and a pancreaticoduodenostomy for internal drainage of the pancreatic pseudocyst. A long-term follow-up has yielded an excellent clinical result.