In spite of the meager reports of operative injuries to the bile tracts, no doubt such surgical accidents are not as rare as the paucity of the literature on the subject would indicate. The majority of such injuries occurred in the hands of able surgeons; some happened to masters in this particular field. Thus it is safe to assume that in the experience of men of lesser eminence such calamities are not so extremely rare.
Jacobson1 has collected reports of thirty-four cases; to these may be added two by Moynihan2 and the case reported below.
The case which I report is the only one of its kind in the literature, and is unique from the type of injury inflicted, namely, complete severance of the common duct with proximal and distal ends securely tied, thus completely shutting off the bile flow from the liver to the duodenum. It is
WERELIUS A. ACCIDENTAL SURGICAL INJURIES TO THE BILE DUCTSWITH REPORT OF A CASE. JAMA. 1917;LXVIII(21):1545–1546. doi:10.1001/jama.1917.04270050247009