Fig. 7

3D-MRCP (a) post-cholecystectomy with non-visualized confluence between the right and left hepatic bile ducts “green arrowhead” with mild intra-hepatic biliary backpressure changes. The site of the CHD is replaced by a small biloma “yellow arrowhead”. Percutaneous drainage catheter is noted “blue arrowhead”. Strasberg Type E4; Bismuth-Corlette Type 4 bile duct injury. Intraoperative photography (b) shows the distance between the right and left bile ducts. Intraoperative cholangiography (c) after injection of the contrast media through the separate drains, confirming loss of communication between right “black dashed arrow” and left “black arrow” hepatic ducts with bile leak “white arrow”