In Brazil, around 9,1% to 19,4% of the adult population has cholelithiasis, with about 20% of these showing typical symptoms, with the majority being asymptomatic. In symptomatic patients, cholecystectomic, preferably laparoscopic, is indicated, as long as the patient has no contraindication for the procedure. Among the intraoperative complications, the lesion of the bile ducts corresponds to 0,3% of the cases, and it may be necessary to perform a biliodigestive derivation to correct more complex lesions, according to the Bismuth classification. However, such shunts can also evolve with stenosis, which can be corrected shortly by surgical, endoscopy or interventional radiology, because as complications by biliary stenosis, we have secondary biliary cirrhosis, occurring in hepatectomies and even liver transplantation. The present article reports a patient diagnosed with bile duct injury and the confluence of the hepatic ducts after cholecystectomy, who underwent a biliodigestive derivation in "Roux-en-Y" on the fifth postoperative day. Aprroximately one year later, he again presented abdominal pain, jaundice, fecal acolia, choluria, pruritus, fever and chills. He underwent cholangioresonance, detecting stenosis of biliodigestive shunt, compromising both hepatic ducts. Due to the technical difficulty of a new surgical intervention, we opted for a percutaneous procedure guided by radiography to place a prosthesis in the bile duct for drainage and dilatation, with satisfactory results. The prosthesis was removed after ten months, keeping the patient asymptomatic.