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Case 9: Bile in the drain post cholecystectomy

A 55 year old woman is referred to you 10 days post cholecystectomy. The procedure was performed for acute cholecystitis and the dissection was difficult. The original surgeon reported finding "aberrant anatomy". There has been persistent drainage of bile from the drain left at operation at approximately 500ml/day.

Major bile duct injury

1. What type of xray is this and what does it show?

2. How would you manage this problem?

3. How would you classify this injury?