Management of blunt hepatic duct transection by ligation

We have reported a case of blunt trauma causing major hepatic injury and disruption of the right hepatic duct. The patient was treated with resectional debridement and ligation of the right hepatic duct; he has done well, without jaundice or signs of hepatic dysfunction. We recommend lobar hepatic duct ligation when other more conventional avenues such as primary repair or biliary-enteric anastomosis are precluded by hemodynamic instability or a nonreconstructable duct.