Complex bile duct injury. Conservative management

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José G. Cervantes
Emilio G. Quiñonez
Magali Chahdi Beltrame
Mateo Poupard
Marcelo E. Lenz Virreira
Francisco J. Mattera


Laparoscopic cholecystectomy is considered the standard of care for symptomatic cholelithiasis. Although the rate of complications is low, bile duct injuries represent a serious problem. The association with vascular injury (complex injury) poses an additional impact by reducing the quality of life and long-term survival. We report the case of a female patient with complex injury due to vascular involvement of the right hepatic pedicle who developed right liver atrophy. Non-operative management was successful due to the absence of septic complications.


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Cervantes, J. G., Quiñonez, E. G., Beltrame, M. C., Poupard, M., Lenz Virreira, M. E., & Mattera, F. J. (2022). Complex bile duct injury. Conservative management. Revista Argentina De Cirugía, 114(2), 177–180. Retrieved from
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