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Peer-reviewedCC BY 4.0Cureus

Roux-en-Y Hepaticojejunostomy for Iatrogenic Bile Duct Injury (Strasberg E1): A Case Report and Review of the Surgical Technique

  • Martin Jesus Mendez Bacelis1
  • Daniel Aguilar Rojas1
  • Yunuén Maqueda Sánchez2
  • Karla A Castillo Castro3
  • Sergio Morales Acosta4
  • Adolfo Peña Medina5
  • Carlos Alberto Milán Lecou2
5 affiliations
  1. 1General Medicine, Universidad Autónoma del Estado de Quintana Roo, Cancún, MEX
  2. 2General Surgery, Cancun General Hospital "Jesus Kumate Rodriguez", Cancún, MEX
  3. 3General Practice, Anáhuac University, Mexico City, MEX
  4. 4General Practice, Faculty of Medicine, Universidad de Guadalajara Centro Universitario de Ciencias de la Salud (CUCS), Guadalajara, MEX
  5. 5General Surgery, Hospital General de Zona No.1 "Dr Carlos De La Peña", Saltillo, MEX
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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.

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Cite

BibTeXRIS
BibTeX
@article{bacelis2026rouxeny,
  title = {{Roux-en-Y Hepaticojejunostomy for Iatrogenic Bile Duct Injury (Strasberg E1): A Case Report and Review of the Surgical Technique}},
  author = {Martin Jesus Mendez Bacelis and Daniel Aguilar Rojas and Yunuén Maqueda Sánchez and Karla A Castillo Castro and Sergio Morales Acosta and Adolfo Peña Medina and Carlos Alberto Milán Lecou},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.117594},
  url = {https://doi.org/10.7759/cureus.117594},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Roux-en-Y Hepaticojejunostomy for Iatrogenic Bile Duct Injury (Strasberg E1): A Case Report and Review of the Surgical Technique
AU  - Martin Jesus Mendez Bacelis
AU  - Daniel Aguilar Rojas
AU  - Yunuén Maqueda Sánchez
AU  - Karla A Castillo Castro
AU  - Sergio Morales Acosta
AU  - Adolfo Peña Medina
AU  - Carlos Alberto Milán Lecou
PY  - 2026
DA  - 2026/10/07
JO  - Cureus
DO  - 10.7759/cureus.117594
UR  - https://doi.org/10.7759/cureus.117594
AB  - 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.
SN  - 2168-8184
ER  -