Laparoscopic Roux-en-Y hepaticojejunostomy as an acute treatment of a right posterior hepatic duct injury: a case report

Abstract Background Laparoscopic cholecystectomy (LC) remains as the gold standard of surgical treatment for gallstone disease. Biliary duct injury (BDI) is an infrequent but serious complication LC. Strasberg's critical view a useful strategy to minimize risk BDI . However, BDIs could still happen. Variations right posterior hepatic (RPHD) are common. The RPHD challenging and literature on this matter scarce. Case summary A berrant drainage into gallbladder neck was unexpectedly identified in 43-year-old man during laparoscopic cholecystectomy. Intraoperative consultation with specialized Hepatobiliary surgeon accomplished anastomosis between jejunum Roux-en-Y reconstruction carried out. operation uneventful no long-term reported over 12-month follow-up period. Conclusion Aberrant implantation must be borne mind despite its low incidence. Previous studies reporting management In our case, hepaticojejunostomy by experienced HPB successful solve difficult case.