A 40-year-old man was admitted postoperatively for conver­sion from laparoscopic cholecystectomy to open surgery nearly 4 months ago in another hospital. The patient reported that he received conversion from laparoscopic cholecystec­tomy to open surgery on June 24, 2013. Postoperative jaun­dice was progressively aggravated. The TBil was 203.0 μmol/L, and DBil was 119.3 μmol/L; after admission, biliru­bin was still progressively elevated; the upper abdomen enhanced CT was performed and “after cholecystectomy, intrahepatic bile duct dilatation was more obvious than before, considering the possibility of common hepatic duct stenosis.” Diagnosis: obstructive jaundice, portal hyperten­sion, splenectomy, posthepatitic cirrhosis, chronic viral hep­atitis B (active phase), conversion from laparoscopic cholecystectomy to open surgery, anemia. On July 10, TBil was 571 μmol/L, and DBil was 334 μmol/L.The bilirubin was signicantly decreased after percutaneous transhepatic right lobe biliary drainage under local anesthesia on July 10, 2013, and discharged from hospital on July 16, 2013. After discharge, the patient had no apparent discomfort, no chills, fever, no abdominal pain, no abdominal distension, no nau­sea, vomiting, no chest tightness, no palpitations, no dif­culty breathing, no black spots, clay-like stools, etc. PTCD drained 500 to 800 ml of golden yellow bile daily. He returned to the hospital on August 25, 2013, for review. Jaundice had subsided, and the symptoms improved slightly. On August 26, “TBil was 28.1 μmol/L, DBil was 22.4 μmol/L.” On August 27, enhanced CT of the upper abdomen showed that “after cholecystectomy + PTCD, the extent of intrahepatic bile duct dilatation did not change signicantly compared with the previous CT lms on 2013-07-16; effu­sion and pneumatosis in cholecystectomy area had decreased; right pleural effusion and a small amount of ascites were basically absorbed.”