{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T06:26:55Z","timestamp":1789453615273,"version":"build-2803163510"},"reference-count":10,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,18]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>We report the case of a woman in her 40s, with no significant medical history, submitted to a laparoscopic cholecystectomy in our institution for symptomatic gallbladder lithiasis. On postoperative day 4, she presented to our emergency room with severe abdominal pain and elevated inflammatory markers. Abdominal CT scan revealed a mass filled with liquid and air in the gallbladder fossa. Surgical exploration was performed revealing a major common hepatic duct iatrogenic injury, which was managed using suture over a T-tube. Three months after surgery, cholangiography showed a biliary stenosis, and a biodegradable stent was inserted through percutaneous transhepatic access. The difficulties in the management of this condition and its outcomes are discussed in this report.<\/jats:p>","DOI":"10.1136\/bcr-2022-254394","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T21:00:35Z","timestamp":1702328435000},"page":"e254394","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of complex iatrogenic common hepatic duct injury following laparoscopic cholecystectomy"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3817-8096","authenticated-orcid":false,"given":"Andreia","family":"Guimar\u00e3es","sequence":"first","affiliation":[{"name":"General Surgery, Centro Hospital e Universit\u00e1rio de Coimbra, EPE, Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Lemos","sequence":"additional","affiliation":[{"name":"General Surgery, Centro Hospital e Universit\u00e1rio de Coimbra, EPE, Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo","family":"Donato","sequence":"additional","affiliation":[{"name":"Radiology, Centro Hospital e Universit\u00e1rio de Coimbra, EPE, Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f3nio","family":"Bernardes","sequence":"additional","affiliation":[{"name":"General Surgery, Centro Hospital e Universit\u00e1rio de Coimbra, EPE, Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,12,11]]},"reference":[{"key":"2025082803121513000_16.12.e254394.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12893-019-0619-0","article-title":"Difficult iatrogenic bile duct injuries following different types of upper abdominal surgery: report of three cases and review of literature","volume":"19","author":"Lubikowski","year":"2019","journal-title":"BMC Surg"},{"key":"2025082803121513000_16.12.e254394.2","first-page":"493","article-title":"Management of bile duct injuries following laparoscopic cholecystectomy: long-term outcome and risk factors influencing biliary reconstruction","volume":"109","author":"Hajjar","year":"1990","journal-title":"Chirurgia (Bucur)"},{"key":"2025082803121513000_16.12.e254394.3","doi-asserted-by":"crossref","first-page":"121","DOI":"10.2147\/CEG.S169492","article-title":"Iatrogenic bile duct injury: impact and management challenges","volume":"12","author":"Pesce","year":"2019","journal-title":"Clin Exp Gastroenterol"},{"key":"2025082803121513000_16.12.e254394.4","doi-asserted-by":"crossref","DOI":"10.1097\/SLA.0000000000003096","article-title":"Feasibility and value of the critical view of safety in difficult cholecystectomies","volume":"269","author":"Felli","year":"2019","journal-title":"Ann Surg"},{"key":"2025082803121513000_16.12.e254394.5","doi-asserted-by":"crossref","first-page":"108899","DOI":"10.1016\/j.ejrad.2020.108899","article-title":"Biodegradable versus multiple plastic stent implantation in benign biliary strictures: a systematic review and meta-analysis","volume":"125","author":"G. Almeida","year":"2020","journal-title":"Eur J Radiol"},{"key":"2025082803121513000_16.12.e254394.6","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.suc.2014.01.008","article-title":"Iatrogenic biliary injuries: identification, classification, and management","volume":"94","author":"Stewart","year":"2014","journal-title":"Surg Clin North Am"},{"key":"2025082803121513000_16.12.e254394.7","doi-asserted-by":"crossref","first-page":"651","DOI":"10.5152\/tjg.2021.201174","article-title":"Efficacy of biodegradable polydioxanone and polylactic acid braided biodegradable biliary stents for the management of benign biliary strictures","volume":"32","author":"Zhang","year":"2021","journal-title":"Turk J Gastroenterol"},{"key":"2025082803121513000_16.12.e254394.8","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1055\/a-0659-9864","article-title":"Endoscopic biliary stenting: indications, choice of stents, and results: European society of gastrointestinal endoscopy (ESGE) clinical guideline - updated October 2017","volume":"50","author":"Dumonceau","year":"2018","journal-title":"Endoscopy"},{"key":"2025082803121513000_16.12.e254394.9","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1097\/MEG.0000000000001167","article-title":"A systematic review of biodegradable biliary stents: promising biocompatibility without stent removal","volume":"30","author":"Siiki","year":"2018","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"2025082803121513000_16.12.e254394.10","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.jss.2014.08.006","article-title":"Self-expandable biodegradable biliary stents in porcine model","volume":"193","author":"Grolich","year":"2015","journal-title":"J Surg Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-254394","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:12:25Z","timestamp":1756375945000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-254394"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":10,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,11]]},"published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1136\/bcr-2022-254394"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-254394","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}