he right posterior sectoral bile duct (RPSD) draining segments 6 and 7 of the liver commonly unite with the anterior sectoral duct to form the right hepatic duct, which in turn is joined by the left hepatic duct at the liver hilum to form the common hepatic duct. 1 In the literature, anomalous drainage of the right posterior sectoral bile duct into the cystic duct, the gallbladder neck or the common hepatic duct is reported in around 2%-9% of patients. 1,2 Aberrant biliary anatomy and poor visualization of the operative field are the most common risk factors for iatrogenic RPSD in- juries. In this case report, we reviewed literature for the management strate- gies of patients who had RPSD injury: wait and watch by nonoperative ap- proach (percutaneous drainage and/or endoscopic stenting) or consider operative treatment. CASE REPORT A 43 year old female patient referred to our hospital with dispepsy and ab- dominal pain. In physical examination only Murphy sign was positive. Her complete blood count, renal and hepatic function tests were in normal ranges. Abdominal ultrasonography was performed and multiple milimet- ric gall stones were found in gall bladder. After empiric antimicrobial ther- apy, analgesia and IV fluids, laparoscopic cholecystectomy was performed. Turkiye Klinikleri J Case Rep. 2019;27(1):13-6 13 Laparoscopic Right Posterior Sectoral Bile Duct Injury Recognized Postoperatively: How to Manage it? ABSTRACT The right posterior sectoral bile duct (RPSD) draining segments 6 and 7 of the liver commonly unite with the anterior sectoral duct to form the right hepatic duct, which in turn is joined by the left hepatic duct at the liver hilum to form the common hepatic duct. Aberrant bil- iary anatomy and poor visualization of the operative field are the most common risk factors for in- juries. Management of the patient is easier if the injury is diagnosed during the operation; but when it is diagnosed postoperatively, the management planning is more complicated. In this case report, a female patient diagnosed as right posterior sectoral duct injury one month after the laparoscopic cholecystectomy was reported while reviewing the literature for current strategies of diagnosis and management. Keywords: Right posterior sectoral bile duct; Strasberg C injury; diagnosis; treatment Sevim TURANLI a , Emine KURT a , Yavuz PİRHAN b a Department of General Surgery, Ankara Oncology Training and Research Hospital, Ankara, TURKEY b Department of General Surgery, Amasya University Sabuncuoğlu Şerefeddin Training and Research Hospital, Amasya, TURKEY Received: 15.06.2018 Received in revised form: 13.09.2018 Accepted: 13.09.2018 Available online: 05.03.2019 Correspondence: Sevim TURANLI Ankara Oncology Training and Research Hospital, Department of General Surgery, Ankara, TURKEY turanlisevim@hotmail.com Copyright © 2019 by Türkiye Klinikleri OLGU SUNUMU DOI: 10.5336/caserep.2018-61848