Bismuth-Strasburg classification of cystic duct stump blow out.
Bismuth Strasberg Classification Of Biliary Injury And Stricture
CLASS A Injury to small ducts in continuity with the biliary system, cystic duct leak
CLASS B Injury to sectoral ducts with consequent obstruction
CLASS C Injury to sectoral duct with consequent bile leak
CLASS D Lateral injury to extrahepatic ducts
CLASS E1 Stricture > 2 cm distal to bifurcation
CLASS E2 Stricture < 2 cm distal to bifurcation
CLASS E3 Stricture at bifurcation
CLASS E4 Stricture involving right and left ducts, ducts are not in continuity
CLASS E5 Complete obstruction of bile duct
MRCP has been demonstrated to be an effective non invasive method for demonstrating billiary leakage or obstruction as well as precisely defining anatomy and the nature o of the injury.
Cholangiography currently remains the gold standard for evaluating biliary tree