Initial management of suspected biliary injury after laparoscopic cholecystectomy

Figure 2 Initial diagnostic flowchart in suspected complication after laparoscopic cholecystectomy. Any patient not recovering correctly in the immediate post-operative phase should be referred and evaluated for the possibility of a complication. Early consultation with the hepato-biliary unit is recommended when bile duct injury or other severe complication of laparoscopic cholecystectomy is suspected. CT: Computed tomography; MRI: Magnetic resonance imaging; MRCP: Magnetic resonance cholangio-pancreatography. (Primovist: Bayer AG, Leverkusen, Germany).