LAUSR

A 79-year-old woman with recurrent biliary colic due to cholelithiasis that had been observed via both ultrasonography and magnetic resonance cholangiography came to the hospital for a scheduled cholecystectomy. During the laparoscopic cholecystectomy, the common bile duct was accidentally sectioned. A choledochocholedochostomy was carried out with placement of a juxta-anastomotic Jackson–Pratt drain. Following this, the patient had 300mL/day drain output, along with a biliary leak. An endoscopic retrograde cholangiopancreatography (ERCP) was carried out. We observed a choledochal duct of 6mm in diameter and bile leakage in the area of the drain. Placement of a guidewire into the intrahepatic bile duct could not be achieved (▶Fig. 1), so an endoscopic sphincterotomy was performed. After 7 days, the ERCP was repeated, with single-operator cholangioscopy (SOC) being performed (▶Video 1). Complete dehisE-Videos