Successful treatment of a high-level bile duct injury with a collaboration of a surgeon and an interventional radiologist: an unusual case

Perek S., DURGUN A. V., Akinci O., PEREK A., Cantasdemir M.

CHIRURGIA-ITALY, vol.34, no.2, pp.93-96, 2021 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 2
  • Publication Date: 2021
  • Doi Number: 10.23736/s0394-9508.20.05117-7
  • Journal Name: CHIRURGIA-ITALY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, EMBASE
  • Page Numbers: pp.93-96
  • Istanbul University Affiliated: No


Iatrogenic bile duct injuries are still a diagnostic and therapeutic problem and their incidence increased with the introduction of laparoscopic cholecystectomy. This case report documents a patient who developed high-level bile duct injury due to laparoscopic cholecystectomy performed in another center and underwent an extraordinary repair that did not have a chance of positive outcome. This irrational reconstruction with panis and desperation made the patient's condition more complicated, but thanks to the cooperation of a general surgeon and an interventional radiologist, successful management was performed and a good outcome was achieved in the long term. For this reason, in case of high-level bile duct injury, surgeons should avoid spontaneous decisions and attempts, focus on the most appropriate option for the patient, and should transfer the patient to a reference center without delay and any other intervention.