{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T06:27:23Z","timestamp":1789453643954,"version":"build-2803163510"},"reference-count":12,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,11,9]],"date-time":"2024-11-09T00:00:00Z","timestamp":1731110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Background and Clinical Significance: Biliary tract injuries are a recognized complication of laparoscopic cholecystectomy. Early diagnosis and prompt management are crucial to minimize complications such as bile leaks, strictures, and fistula formation. This case report highlights the use of a biodegradable biliary stent in managing a complex biliary injury and discusses the impact of delayed diagnosis on treatment outcomes. Case Presentation: We present the case of a 30-year-old male who sustained a Strasberg E2 biliary tract injury during a laparoscopic cholecystectomy. Initially misdiagnosed, the injury was only recognized on the fourth postoperative day. The patient underwent a Roux-en-Y hepaticojejunostomy and subsequently developed a postoperative biliary fistula, which was managed with percutaneous drainage. A biodegradable biliary stent was later placed to address a stricture and minimize the need for future interventions. One year later, the patient presented with symptoms of cholangitis, and radiological findings revealed a narrowing of the biliary lumen. The stricture was resolved and an endoscopic gastrojejunal shunt was placed to prevent further complications. The patient is currently in good condition with no signs of further complications. Conclusions: This case emphasizes the importance of early diagnosis in managing biliary tract injuries and highlights the potential of biodegradable stents to reduce the need for repeat interventions. Despite a delayed diagnosis necessitating complex surgical procedures, the use of a biodegradable stent proved effective in managing postoperative complications. Further studies are needed to evaluate the long-term efficacy of biodegradable stents in similar clinical scenarios.<\/jats:p>","DOI":"10.3390\/reports7040095","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T08:12:39Z","timestamp":1731399159000},"page":"95","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Biodegradable Stents: A Breakthrough in the Management of Complex Biliary Tract Injuries: A Case Report"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9712-2553","authenticated-orcid":false,"given":"Ottavia","family":"Cicerone","sequence":"first","affiliation":[{"name":"Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatiche, University of Pavia, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Di Gioia","sequence":"additional","affiliation":[{"name":"Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatiche, University of Pavia, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Pajola","sequence":"additional","affiliation":[{"name":"Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatiche, University of Pavia, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1978-643X","authenticated-orcid":false,"given":"Anna","family":"Gallotti","sequence":"additional","affiliation":[{"name":"Radiologia, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Mauro","family":"D\u2019Agostino","sequence":"additional","affiliation":[{"name":"Radiologia Interventistica, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Cionfoli","sequence":"additional","affiliation":[{"name":"Radiologia Interventistica, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8741-4019","authenticated-orcid":false,"given":"Riccardo","family":"Corti","sequence":"additional","affiliation":[{"name":"Radiologia Interventistica, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Quaretti","sequence":"additional","affiliation":[{"name":"Radiologia Interventistica, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5693-9151","authenticated-orcid":false,"given":"Marcello","family":"Maestri","sequence":"additional","affiliation":[{"name":"Chirurgia Generale I, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s13304-022-01392-5","article-title":"Minimally invasive biliary anastomosis after iatrogenic bile duct injury: A systematic review","volume":"75","author":"Cubisino","year":"2023","journal-title":"Updates Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1055\/s-0041-1731369","article-title":"The Role of the Interventional Radiologist in Bile Leak Diagnosis and Management","volume":"38","author":"Zhu","year":"2021","journal-title":"Semin. Interv. Radiol."},{"key":"ref_3","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":"15","author":"Siiki","year":"2023","journal-title":"World J. Gastrointest. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1097\/SLA.0b013e318208fad3","article-title":"Specialist early and immediate repair of post-laparoscopic cholecystectomy bile duct injuries is associated with an improved long-term outcome","volume":"253","author":"Perera","year":"2011","journal-title":"Ann. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s13304-016-0347-2","article-title":"Treatment of the iatrogenic lesion of the biliary tree secondary to laparoscopic cholecystectomy: A single center experience","volume":"68","author":"Tropea","year":"2016","journal-title":"Updates Surg."},{"key":"ref_6","first-page":"2120","article-title":"Liver transplantation for iatrogenic injuries secondary to cholecystectomy: A systematic review","volume":"109","author":"Guidetti","year":"2023","journal-title":"Int. J. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.hpb.2023.01.005","article-title":"Bile duct injury following cholecystectomy: Delayed referral to a tertiary care center is strongly associated with malpractice litigation","volume":"25","author":"Ardito","year":"2023","journal-title":"HPB"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1097\/MCG.0000000000001566","article-title":"Novel Uses of Lumen-apposing Metal Stents: A Review of the Literature","volume":"55","author":"Bhenswala","year":"2021","journal-title":"J. Clin. Gastroenterol."},{"key":"ref_9","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","year":"2020","journal-title":"Eur. J. 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HPB, 21, 1641\u20131647."}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/7\/4\/95\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:29:29Z","timestamp":1760113769000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/7\/4\/95"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,9]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["reports7040095"],"URL":"https:\/\/doi.org\/10.3390\/reports7040095","relation":{},"ISSN":["2571-841X"],"issn-type":[{"value":"2571-841X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,9]]}}}