• Yuxu Wang, Yanyan Liu, Pan Lv, Hao Li, and Weiqiang Gong.
• Weifang People's Hospital, Hepatobiliary and Pancreatic Medicine Center, Weifang, Shandong, China.
• Medicine (Baltimore). 2023 Dec 8; 102 (49): e36565e36565.

RationaleThe management of bile duct injury (BDI) remains a considerable challenge in the department of hepatobiliary and pancreatic surgery. BDI is mainly iatrogenic and mostly occurs in laparoscopic cholecystectomy (LC). After more than 2 decades of development, with the increase in experience and technological advances in LC, the complications associated with the procedure have decreased annually. However, bile duct injuries (BDI) still have a certain incidence, the severity of BDI is higher, and the form of BDI is more complex.Patient ConcernsWe report the case of a patient who presented with bile duct injury and formation of a right hepatic duct-duodenal fistula after LC.DiagnosesBased on the diagnosis, a dissection was performed to relieve bile duct obstruction, suture the duodenal fistula, and anastomose the right and left hepatic ducts to the jejunum.InterventionBased on the diagnosis, a dissection was performed to relieve bile duct obstruction, suture the duodenal fistula, and anastomose the right and left hepatic ducts to the jejunum.OutcomesPostoperative recovery was uneventful, with normal liver function and no complications, such as anastomotic fistula or biliary tract infection. The patient was hospitalized for 11 days postoperatively and discharged.LessonsThe successful diagnosis and treatment of this case and the summarization of the imaging features and diagnosis of postoperative BDI have improved the diagnostic understanding of postoperative BDI and provided clinicians with a particular clinical experience and basis for treating such diseases.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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