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A 23-year-old woman with a big abscess in the proper hepatic lobe due to an extreme vasculobiliary injury after laparoscopic cholecystectomy is presented.
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The results of bile duct reconstruction could be worse in the presence of combined biliary and vascular injuries than in patients having an intact blood circulation of the biliary ducts, and arterial reconstruction when possible in early recognized injuries to prevent late strictures.
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A significant and rare case of intra-operative complication of portal vein injury during the laparoscopic cholecystectomy was encountered and the injury was well managed by suture repair.
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• Early referral to a tertiary care center with experienced hepatobiliary surgeons and skilled interventional radiologists seems to be necessary to assure optimal results of major bile duct injuries after laparoscopic cholecystectomy.
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• A 23-year-old woman with a big abscess in the proper hepatic lobe because of an extreme vasculobiliary injury after laparoscopic cholecystectomy is presented.

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The discovery of a disruption of the right branch of the hepatic artery shouldn’t affect management of the biliary stricture when in case a Hepp–Couinaud biliary repair is conducted.
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Routine arteriography is recommended in patients with a biliary injury if early repair is contemplated and consideration ought to be given to delaying repair of a bile duct injury in Patients with occlusion of the RHA.
Early referral to a tertiary care center with experienced hepatobiliary surgeons and skilled interventional radiologists seems to be necessary to assure optimal results of major bile duct injuries after laparoscopic cholecystectomy.
An analytical overview of vasculobiliary injury in laparoscopic and open cholecystectomy.
The authors’ connection with an incident of iatrogenic lesion of the right hepatic artery with the formation of pseudoaneurysm treated by way of embolization of the artery is presented.
Hepatic atrophy or sepsis after biliary injury can be managed successfully with hepatic resection, and Liver transplantation is required occasionally for patients with secondary biliary cirrhosis, but is rarely successful for early hepatic failure following iatrogenic biliary Injury.

• Browse the owner’s manual and product warning labels before operation.
• A 23-year-old woman with a large abscess in the proper hepatic lobe due to an extreme vasculobiliary injury after laparoscopic cholecystectomy is presented.
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• Complications and deaths because of HA injury are less common today, but large-scale and multicentric studies are essential to understand better the first and long-term results of HA ligation and determine preventive procedures.
• Early referral to a tertiary care center with experienced hepatobiliary surgeons and skilled interventional radiologists would appear to be essential to assure optimal outcomes of major bile duct injuries after laparoscopic cholecystectomy.

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Color #e1dfdd contains mainly RED color.
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They are designed to provide the information that is needed to review the project to ensure compliance with the ISEF rules and with regulations that connect with the project.
This study shows that salvage major hepatectomy is an effective treatment for patients with complex hilar bile duct injuries and should be considered before liver transplantation or recourse to metallic stents.
MR imaging combined with MR angiography and MR cholangiography can be performed emergently in patients with suspicion of bilio-vascular injury after laparoscopic cholecystectomy allowing the simultaneous evaluation of the biliary tree and the hepatic vascular supply that is needed for adequate treatment planning.
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Furthermore, the investigation completed between August 2018 and May 2019 has identified situations of abuse and direct control of the trafficked person, forced to prostitute when she was in an advanced state of pregnancy.
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