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Surgical Management of a Complex High Hepatic Duct Injury: A Case Report
Audrey Brecher1, Grace E Trello1, Jordan Perkins2
1Department of Surgery, Saint Louis University School of Medicine, Saint Louis, USA.
Cureus
|April 10, 2025
Abstract:
This is a case of a patient who underwent an elective laparoscopic cholecystectomy after previously presenting with acute cholecystitis. His operation was complicated by a high common hepatic duct (CHD) injury requiring complex surgical repair. This case highlights the importance of the early recognition of this type of injury and the utility of a Kasai portoenterostomy as an operative repair in high CHD injuries in the absence of an extrahepatic duct viable for repair.

