DOI: https://doi.org/10.36347/sasjs.2025.v11i07.011

Pages: 829-832

Bile duct injury (BDI) remains a serious complication of laparoscopic cholecystectomy (LC), often resulting in significant morbidity. Despite advances in surgical techniques, the incidence has not decreased to the levels observed in open procedures. We report a case of a 35-year-old female with a history of LC performed 10 months prior, who presented with progressive right hypochondrial pain, jaundice, and pruritus. Laboratory findings revealed cholestasis with significantly elevated total and direct bilirubin. Imaging with abdominal ultrasound, MRI cholangiography, and ERCP confirmed a severe stricture at the proximal common bile duct. Surgical management involved a Roux-en-Y hepaticojejunostomy after partial choledochectomy. Postoperative recovery was uneventful with resolution of symptoms. Severe biliary stricture post-LC, though rare, mandates prompt multidisciplinary management. Early diagnosis and timely surgical reconstruction are crucial for favorable outcomes.