Biliary reconstruction with localized creation: One case report of repairing bile duct injury and defect with autografts

Bile duct injuries caused by any reason are a disaster for patients and pose a significant psychological and technical challenge for surgeons. The use of Ligamentum teres hepatis and gallbladder flap as autografts is showing promising results in the repair of bile duct injury. This article presents a challenging case of a patient with Mirizzi syndrome who experienced a complex bile duct defect and injury during cholecystectomy. We describe the successful reconstruction of the bile duct using ligamentum teres hepatis and remnant gallbladder flap simultaneously. Ligamentum teres hepatis and remnant gallbladder flap are ideal repair materials for repairing and reconstructing bile duct injuries due to their easy availability, good tissue compatibility, and low incidence of postoperative complications. It is essential to seek the assistance of an experienced biliary surgeon when bile duct injury occurs during operation. Ligamentum teres hepatis and gallbladder flap, as suitable autologous tissues, are viable options for repairing bile duct injuries and defects. •Ligamentum teres hepatis and remnant gallbladder flap are viable autologous tissues for repairing bile duct injuries and defects.•The innovative use of these autografts in a challenging case of Mirizzi syndrome highlights the potential of individualized surgical approaches and the importance of experienced biliary surgeons.•The gold standard treatment for major bile duct injuries may lead to long-term complications, emphasizing the need for alternative approaches such as autograft reconstruction.