Skip to main content
. 2016 Sep;98(7):456–460. doi: 10.1308/rcsann.2016.0182

Table 1.

Type of bile-duct injury, initial management and outcome of those who developed a pseudoaneurysm in the hepatic artery

Age (years) and sex Type of injury Initial management Outcome of bile-duct injury
74, Male Strasberg A Not recognised on table. Readmitted with biliary peritonitis. ERCP failed twice. Laparotomy and repair of leak in cystic stump. Needed further percutaneous drainage of a collection. Died of multiple-organ failure 29 days after embolisation of pseudoaneurysm.
70, Female Strasberg A Not recognised on table. ERCP + stenting and percutaneous drainage. Leak settled in a few days. Well at 16-month follow-up.
76, Male Strasberg E2 On-table repair: hepaticojejunostomy by specialist team. No leak; no stricture.
56, Male Strasberg E2 Recognised on table; T-tube drainage. Developed mid-CBD stricture 20 months later needing hepaticojejunostomy.
66, Male Strasberg E2 On table. Hepaticojejunostomy by specialist team. Early bile leak, settled with PTC and drainage. Developed anastomotic stricture that was dilated by a percutaneous approach 56 months later.
64, Female Strasberg E2 On-table repair: hepaticojejunostomy with reconstruction of the injury to the right hepatic artery. Bile leak on day-12, resolved with percutaneous drainage.
59, Male Strasberg E3 Suspected right-posterior sectoral duct injury oversewn by primary surgeon. Developed obstructive jaundice from biliary stricture (E3). Hepaticojejunostomy done 3 months after a laparoscopic cholecystectomy. Well at 43-month follow-up.
54, Male Strasberg E3 On-table hepaticojejunostomy by primary surgeon. Developed anastomotic stricture 1 year after initial surgery necessitating revision

ERCP = endoscopic retrograde cholangiopancreatography; CBD = common bile duct; PTC = percutaneous transhepatic cholangiography