{
  "abstract": "Iatrogenic bile duct injury (IBDI) is a severe complication of cholecystectomy that requires systematic management to avoid long-term morbidity and mortality. We report the case of a 47-year-old female who sustained a Strasberg E1 bile duct disruption following a cholecystectomy performed 15 days prior. Initial stabilization and biliary decompression were achieved via ultrasound/fluoroscopy-guided percutaneous transhepatic biliary drainage (PTBD). Following resolution of hyperbilirubinemia and targeted antibiotic therapy for multidrug-resistant biliary colonizers (Escherichia coli extended-spectrum beta-lactamase (ESBL) and Enterococcus faecalis), the patient underwent definitive open Roux-en-Y hepaticojejunostomy (Hepp-Couinaud technique) with a transanastomotic biliary catheter. Postoperative recovery was uneventful, demonstrating normalization of liver function and successful biliary drainage. This case underscores the value of a multidisciplinary step-up approach, adequate infection control, and adherence to surgical principles in achieving optimal outcomes in complex biliary injuries.",
  "abstract_shown": true,
  "affiliations": [
    "General Medicine, Universidad Autónoma del Estado de Quintana Roo, Cancún, MEX",
    "General Surgery, Cancun General Hospital \"Jesus Kumate Rodriguez\", Cancún, MEX",
    "General Practice, Anáhuac University, Mexico City, MEX",
    "General Practice, Faculty of Medicine, Universidad de Guadalajara Centro Universitario de Ciencias de la Salud (CUCS), Guadalajara, MEX",
    "General Surgery, Hospital General de Zona No.1 \"Dr Carlos De La Peña\", Saltillo, MEX"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Martin Jesus Mendez Bacelis"
    },
    {
      "affs": [
        0
      ],
      "name": "Daniel Aguilar Rojas"
    },
    {
      "affs": [
        1
      ],
      "name": "Yunuén Maqueda Sánchez"
    },
    {
      "affs": [
        2
      ],
      "name": "Karla A Castillo Castro"
    },
    {
      "affs": [
        3
      ],
      "name": "Sergio Morales Acosta"
    },
    {
      "affs": [
        4
      ],
      "name": "Adolfo Peña Medina"
    },
    {
      "affs": [
        1
      ],
      "name": "Carlos Alberto Milán Lecou"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d4w9w9x1b49w0.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.117594",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13742068/",
  "id": "d4w9w9x1b49w0",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://doi.org/10.7759/cureus.117594",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Emergency Medicine"
    ],
    [
      "heading",
      "Gastroenterology"
    ],
    [
      "heading",
      "General Surgery"
    ],
    [
      "openalex",
      "2715|Gallbladder and Bile Duct Disorders"
    ]
  ],
  "openalex": "W7220861237",
  "pdf_url": "https://www.cureus.com/articles/539813-roux-en-y-hepaticojejunostomy-for-iatrogenic-bile-duct-injury-strasberg-e1-a-case-report-and-review-of-the-surgical-technique.pdf",
  "pmcid": "PMC13742068",
  "pmid": "42997471",
  "published": "2026-10-07",
  "publisher": "Cureus Inc.",
  "ris": "https://research.draconitic.com/paper/d4w9w9x1b49w0.ris",
  "sources": [
    {
      "first_seen": "2026-11-10T12:22:59Z",
      "native_id": "PMC13742068",
      "source": "pmc",
      "url": "https://doi.org/10.7759/cureus.117594"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2715|Gallbladder and Bile Duct Disorders",
      "subfield": "general"
    }
  ],
  "title": "Roux-en-Y Hepaticojejunostomy for Iatrogenic Bile Duct Injury (Strasberg E1): A Case Report and Review of the Surgical Technique",
  "title_text": "Roux-en-Y Hepaticojejunostomy for Iatrogenic Bile Duct Injury (Strasberg E1): A Case Report and Review of the Surgical Technique",
  "type": "peer-reviewed",
  "updated_at": "2026-11-10T12:22:59Z",
  "url": "https://research.draconitic.com/paper/d4w9w9x1b49w0",
  "venue": "Cureus",
  "versions": []
}