EAS Publisher | Management of a Type E3 Biliary Tract Trauma from Strasbourg: About a Case

Management of a Type E3 Biliary Tract Trauma from Strasbourg: About a Case

DOI : https://doi.org/10.36349/easjms.2026.v08i03.005

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Biliary lesions remain a serious complication of laparoscopic cholecystectomy. Although their reported incidence is less than 0.7%, the actual incidence likely remains underestimated. Some lesions go unnoticed for many years and are only revealed during late complications, such as secondary biliary cirrhosis. In addition, these lesions may incur the surgeon’s medico-legal responsibility. We report the case of a 69-year-old man consulting for cholestatic icterus occurring three months after a cholecystectomy. The MRI confirmed the diagnosis of an E3 type lesion according to the Strasberg classification. After failure of endoscopic treatment, hepatic-jejunal anastomosis was performed. The objective of this observation is to illustrate the different stages and difficulties of managing a complex traumatic lesion of the main biliary tract.

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