# Surgical Management of a Complex High Hepatic Duct Injury: A Case Report

## TL;DR

A patient's laparoscopic cholecystectomy was complicated by a high hepatic duct injury, requiring a complex surgical repair using Kasai portoenterostomy.

## Contribution

Demonstrates the utility of Kasai portoenterostomy for repairing high hepatic duct injuries when other options are not viable.

## Key findings

- A high common hepatic duct injury occurred during laparoscopic cholecystectomy.
- Kasai portoenterostomy was used successfully for surgical repair.
- Early recognition of such injuries is crucial for effective management.

## Abstract

This is a case of a patient who underwent an elective laparoscopic cholecystectomy after previously presenting with acute cholecystitis. His operation was complicated by a high common hepatic duct (CHD) injury requiring complex surgical repair. This case highlights the importance of the early recognition of this type of injury and the utility of a Kasai portoenterostomy as an operative repair in high CHD injuries in the absence of an extrahepatic duct viable for repair.