ABSTRACT
Biliary injuries are often accompanied by vascular injuries. Vascular injuries are associated with a greater tendency for restricture of bile duct repairs ( 15 ), but apparently not when repairs are done after an interval in expert centers using the Hepp-Couinaud approach ( 16 ). Portal vein transection and traumatic thrombosis have also been reported. The vascular component may be come the predominant feature of the injury with necrosis of the intrahepatic biliary system or hepatic infarction. Infarction of the intrahepatic biliary tree requires transplantation, while hepatic infarction may lead to the need for hepatic resection or transplantation ( 17 ).
