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Journal of Case Reports
Complete Biliary Hilar and Right Hepatic Artery Injury
Keyur Bhatt
Department of GI-HPB and Cancer Surgery, SIDS Hospital & Research Centre, Surat, Gujarat, India.
Corresponding Author:
Dr Keyur Bhatt
Email: drkeyurbhatt@gmail.com
Received: 12-JAN-2020 Accepted: 29-SEP-2021 Published Online: 25-JAN-2022
DOI: http://dx.doi.org/10.17659/01.2022.0003
Background: Bile duct injury in cholecystectomy is a known complication with 0.1% incidence. There are many classifications system available for the same in literature. Case Report: The injury that we found and managed was out of any classification available. The entire biliary hilum with right and left hepatic ducts was in the specimen. We managed the patient with a two-stage approach. First, with drainage and second with reconstruction hepaticojejunostomy after 2.5 months. The patient is doing well at 8 years follow up. Conclusion: Intraoperatively detected complex bile duct injury carries a better outcome as compared to post-operatively detected bile duct injury.

Keywords : Biliary Excretion, Biliary Fistula, Hemorrhage, Hepatic Artery, Injuries.
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