{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T20:26:49Z","timestamp":1757622409706,"version":"3.44.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We describe a case of a 64-year-old obese woman with a history of severe acute cholecystitis and choledocholithias who underwent laparoscopic cholecystectomy in our clinic after endoscopic treatment by sphincterotomy and stent insertion. On the first operative day, a significant bile leakage of 400\u00a0ml appeared in the drainage. An immediate surgical revision was performed, starting by laparoscopy with conversion to open surgery. Three separate bile ducts just above the level of the biliary confluence were revealed intraoperatively. The injury was addressed by performing two separate hepaticojejunostomy anastomoses, supported by transanastomotic drains to the left sided ducts. Additionally, a percutaneous transhepatic cholangiography drain was inserted in the right hepatic duct. The postoperative course was uneventful and at postoperative day 16 the patient was discharged at home. After a follow-up of 18\u00a0months, the patient is in good condition without any signs of biliary complications. This case highlights the challenge of managing complex bile duct injuries. It emphasizes the need for multidisciplinary management in a dedicated hepato-biliary center with experienced surgeons, endoscopists, and interventional radiologists.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf726","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T19:45:07Z","timestamp":1757360707000},"source":"Crossref","is-referenced-by-count":0,"title":["Management of a complex central bile duct injury associated with laparoscopic cholecystectomy: a case report of double hepaticojejunostomy and advanced transhepatic interventional drainage technique"],"prefix":"10.1093","volume":"2025","author":[{"given":"Michelle","family":"Ordieres","sequence":"first","affiliation":[{"name":"Department of Hepato-Pancreato-Biliary Surgery, Clinic for General, Visceral and Vascular Surgery, Ernst von Bergmann Klinikum , Charlottenstra\u00dfe 72, 14467 Potsdam ,","place":["Germany"]},{"name":"HMU, Health and Medical University , Olympischer Weg 1, 14471 Potsdam ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Beyer","sequence":"additional","affiliation":[{"name":"HMU, Health and Medical University , Olympischer Weg 1, 14471 Potsdam ,","place":["Germany"]},{"name":"Department of Diagnostic and Interventional Radiology, Ernst von Bergmann Klinikum , Charlottenstra\u00dfe 72, 14467 Potsdam ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"M\u00f6ller","sequence":"additional","affiliation":[{"name":"Department of Hepato-Pancreato-Biliary Surgery, Clinic for General, Visceral and Vascular Surgery, Ernst von Bergmann Klinikum , Charlottenstra\u00dfe 72, 14467 Potsdam ,","place":["Germany"]},{"name":"HMU, Health and Medical University , Olympischer Weg 1, 14471 Potsdam ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Marusch","sequence":"additional","affiliation":[{"name":"Department of Hepato-Pancreato-Biliary Surgery, Clinic for General, Visceral and Vascular Surgery, Ernst von Bergmann Klinikum , Charlottenstra\u00dfe 72, 14467 Potsdam ,","place":["Germany"]},{"name":"HMU, Health and Medical University , Olympischer Weg 1, 14471 Potsdam ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven Christian","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Hepato-Pancreato-Biliary Surgery, Clinic for General, Visceral and Vascular Surgery, Ernst von Bergmann Klinikum , Charlottenstra\u00dfe 72, 14467 Potsdam ,","place":["Germany"]},{"name":"HMU, Health and Medical University , Olympischer Weg 1, 14471 Potsdam ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"2025090815450426100_ref1","doi-asserted-by":"publisher","first-page":"2827","DOI":"10.1007\/s00464-020-07568-7","article-title":"Prevention of bile duct injury consensus work group. Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy","volume":"34","author":"Brunt","year":"2020","journal-title":"Surg Endosc"},{"key":"2025090815450426100_ref2","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1007\/s10620-017-4768-7","article-title":"Endoscopic therapy of biliary injury after cholecystectomy","volume":"63","author":"Rainio","year":"2018","journal-title":"Dig Dis Sci"},{"key":"2025090815450426100_ref3","doi-asserted-by":"publisher","first-page":"1613","DOI":"10.1016\/j.hpb.2020.02.010","article-title":"Factors leading to loss of patency after biliary reconstruction of major laparoscopic cholecystectomy bile duct injuries: an observational study with long-term outcomes","volume":"22","author":"Lindemann","year":"2020","journal-title":"HPB"},{"key":"2025090815450426100_ref4","doi-asserted-by":"crossref","first-page":"592","DOI":"10.4240\/wjgs.v15.i4.592","article-title":"Initial management of suspected biliary injury after laparoscopic cholecystectomy","volume":"2715","author":"Siiki","year":"2023","journal-title":"World J Gastrointest Surg"},{"key":"2025090815450426100_ref5","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1159\/000511527","article-title":"Endoscopic treatment of post-cholecystectomy biliary leaks","volume":"28","author":"Rio-Tinto","year":"2021","journal-title":"GE - Port J Gastroenterol"},{"key":"2025090815450426100_ref6","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.hpb.2021.09.012","article-title":"Hepatectomy after bile duct injury: a systematic review","volume":"24","author":"Furtado","year":"2022","journal-title":"HPB"},{"key":"2025090815450426100_ref7","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1097\/SLA.0000000000003448","article-title":"Early versus delayed surgical repair and referral for patients with bile duct injury: a systematic review and meta-analysis","volume":"271","author":"Wang","year":"2020","journal-title":"Ann Surg"},{"key":"2025090815450426100_ref8","doi-asserted-by":"publisher","first-page":"1509","DOI":"10.1007\/s13304-023-01611-7","article-title":"Bile duct injury after cholecystectomy: timing of surgical repair should be based on clinical presentation. The experience of a tertiary referral center with Hepp-Couinaud hepatico-jejunostomy","volume":"75","author":"Giuliante","year":"2023","journal-title":"Updates Surg"},{"key":"2025090815450426100_ref9","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1007\/s00423-023-02818-3","article-title":"Hepaticojejunostomy for bile duct injury: state of the art","volume":"408","author":"Marichez","year":"2023","journal-title":"Langenbecks Arch Surg"},{"key":"2025090815450426100_ref10","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1159\/000496432","article-title":"Long-term impact of iatrogenic bile duct injury","volume":"37","author":"Schreuder","year":"2020","journal-title":"Dig Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/9\/rjaf726\/64223536\/rjaf726.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/9\/rjaf726\/64223536\/rjaf726.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T19:45:08Z","timestamp":1757360708000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf726\/8249379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf726","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,9]]},"published":{"date-parts":[[2025,9,1]]},"article-number":"rjaf726"}}