case_images: PMC3913425_01
case_images: Right hepatic duct (RH), left hepatic duct (LH) and obstructed common hepatic duct (O).
case_images: rjt10601.jpg
case_images: PMC3913425_01_rjt10601.jpg
case_images: RJT106F1
case_images: Cholangiography showed moderate dilatation of the intrahepatic bile duct and a sudden obstruction in the common hepatic duct 1 cm from the confluence of the hepatic ducts, corresponding to bile duct injury classified as Bismuth II (Fig. 1). 
case_images: Segment of the jejunal loop.
case_images: rjt10602.jpg
case_images: PMC3913425_01_rjt10602.jpg
case_images: RJT106F2
case_images: A 5-cm segment was cut from the jejunal loop at a distance of 40 cm from Treitz angle (Fig. 2) and divided into two segments of 2.5 cm, each containing their respective vascular pedicles (Fig. 3).  
case_images: Sectioned segments of the jejunal loop.
case_images: rjt10603.jpg
case_images: PMC3913425_01_rjt10603.jpg
case_images: RJT106F3
case_images: A 5-cm segment was cut from the jejunal loop at a distance of 40 cm from Treitz angle (Fig. 2) and divided into two segments of 2.5 cm, each containing their respective vascular pedicles (Fig. 3).  
case_images: Detubularization.
case_images: rjt10604.jpg
case_images: PMC3913425_01_rjt10604.jpg
case_images: RJT106F4
case_images: The mesenteric and antimesenteric borders of the two segments were cut longitudinally (Fig. 4), promoting jejunal detubularization and forming two separate pedicled rectangles (Fig. 5).
case_images: Transverse retubularization.
case_images: rjt10606.jpg
case_images: PMC3913425_01_rjt10606.jpg
case_images: RJT106F6
case_images: A 21-cm tube was created using 3-0 continuous sutures of polyglactin 910 (Vicryl ) (Figs 6 and 7).
case_images: View of the final tube.
case_images: rjt10607.jpg
case_images: PMC3913425_01_rjt10607.jpg
case_images: RJT106F7
case_images: A 21-cm tube was created using 3-0 continuous sutures of polyglactin 910 (Vicryl ) (Figs 6 and 7).
case_images: Right hepatic duct (RH), left hepatic duct (LH), interposed jejunal tube (T) and antireflux valve (V).
case_images: rjt10608.jpg
case_images: PMC3913425_01_rjt10608.jpg
case_images: RJT106F8
case_images: Magnetic resonance cholangiography performed 45 months after surgery showed a functioning tube (Fig. 8).