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Delayed, Recurrent Bile Leak from Isolated Right Posterior Sectoral Duct Injury After Laparoscopic Cholecystectomy: An Unusual Presentation
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  • Amit Sharma,
  • Brianna Ruch,
  • Yahya Alwatari,
  • Sonia Lele,
  • Doumit BouHaidar
Amit Sharma
VCU Health

Corresponding Author:[email protected]

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Brianna Ruch
VCU Health
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Yahya Alwatari
VCU Health
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Sonia Lele
VCU Health
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Doumit BouHaidar
VCU Health
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Bile leak after cholecystectomy is associated with significant comorbidity. Biliary duct variant anatomy can complicate identification and management. We report a very rare presentation of recurrent delayed bile leaks years after laparoscopic cholecystectomy secondary to missed right posterior sectoral bile duct injury. Surgical intervention was required after failure of conservative management.
Key clinical message: Right posterior sectoral duct injury should be considered in patients presenting with a delayed recurrent bile leak. Deep dissection into liver parenchyma during gallbladder fossa dissection should be avoided to prevent occurrence of such injuries.
27 Mar 2022Submitted to Clinical Case Reports
30 Mar 2022Submission Checks Completed
30 Mar 2022Assigned to Editor
12 May 2022Reviewer(s) Assigned
15 May 2022Review(s) Completed, Editorial Evaluation Pending
16 May 2022Editorial Decision: Revise Minor
04 Jun 20221st Revision Received
08 Jun 2022Submission Checks Completed
08 Jun 2022Assigned to Editor
08 Jun 2022Review(s) Completed, Editorial Evaluation Pending
11 Jun 2022Editorial Decision: Accept
Jul 2022Published in Clinical Case Reports volume 10 issue 7. 10.1002/ccr3.6032