Endoscopic repair of Strasberg type D bile duct injury following laparoscopic cholecystectomy: an unconventional approach.

ABSTRACT:

Background and aims

Bile duct injury (BDI) is a rare but serious adverse event of laparoscopic cholecystectomy (LC). Prompt diagnosis using imaging and endoscopic tools is essential. Although most minor BDIs (Strasberg types A-C) might be managed with ERCP, major injuries (types D and E) typically require surgical intervention. This case highlights an unconventional approach in which a Strasberg type D injury was successfully managed with ERCP alone.

Methods

We present a case of Strasberg type D BDI following ERCP with plastic stent placement for Mirizzi's syndrome. One day later, during LC, common bile duct (CBD) injury occurred with the stent seen intraoperatively.

Results

ERCP was repeated, and a guidewire was advanced through the ampulla to reconnect the transecte

SUBMITTER: Abdulraheem A 

PROVIDER: S-EPMC12546665 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature