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Introduction <p>Bile duct injury (BDI) is an iatrogenic injury that most commonly affects the main bile duct as a complication of cholecystectomy. However, it has not been previously reported as a complication of hydatid cyst surgery.</p> Case Presentation <p>We report a 23-year-old female who developed cholestatic jaundice following partial pericystectomy for a hydatid cyst in segments II and III. Postoperative imaging revealed a common hepatic duct stricture and vascular injury. After failed endoscopic management, she underwent surgery at our tertiary center, including left lateral sectionectomy, cholecystectomy, and Roux-en-Y hepaticojejunostomy to restore biliary continuity. The postoperative course was uneventful, and at the 4-month follow-up, she remained asymptomatic with normal liver function tests.</p> Conclusion <p>This case emphasizes the importance of meticulous surgical technique, particularly in hydatid cyst resections near the hepatic hilum, and highlights the need to consider iatrogenic BDI as a potential complication in such cases.</p>

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Iatrogenic Extrahepatic Bile Duct Injury, an Uncommon Complication of Liver Hydatid Cyst Surgery: A Case Report

  • 期刊论文

  • 发表日期：

    2025年8月19日

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  • Anisse Tidjane,
  • Nacim Ikhlef,
  • Sif Islam Meharzi,
  • Hakim Larbi,
  • Juba Mansouri,
  • Anissa Ourabah,
  • Ghizlene Abebsi,
  • Benali Tabeti

摘要

Introduction

Bile duct injury (BDI) is an iatrogenic injury that most commonly affects the main bile duct as a complication of cholecystectomy. However, it has not been previously reported as a complication of hydatid cyst surgery.

Case Presentation

We report a 23-year-old female who developed cholestatic jaundice following partial pericystectomy for a hydatid cyst in segments II and III. Postoperative imaging revealed a common hepatic duct stricture and vascular injury. After failed endoscopic management, she underwent surgery at our tertiary center, including left lateral sectionectomy, cholecystectomy, and Roux-en-Y hepaticojejunostomy to restore biliary continuity. The postoperative course was uneventful, and at the 4-month follow-up, she remained asymptomatic with normal liver function tests.

Conclusion

This case emphasizes the importance of meticulous surgical technique, particularly in hydatid cyst resections near the hepatic hilum, and highlights the need to consider iatrogenic BDI as a potential complication in such cases.