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Fig. 3A —Bile duct injuries. 42-year-old woman with abdominal pain,
pyrexia, and leukocytosis 10 days after laparoscopic cholecystectomy. CT scan
(A) shows Surgicel (oxidized regenerated cellulose, Johnson &
Johnson Ethicon) in gallbladder fossa (thin arrow, A) and
small fluid collection adjacent to tip of liver (thick arrow,
A). Patient underwent laparotomy, which showed leak from common bile
duct (CBD), which was sutured. Patient remained unwell and underwent ERCP
(B), which showed persistent leak from damaged CBD (arrow,
B). Leak resolved after endoscopic placement of a stent.