According to the Bismuth/Strasberg classification &; Cystic blow out&; is classified as
Correct Answer: TYPE A
Description: Strasberg classification Class A: Bile leak from the cystic duct or an accessory duct showing continuity with the common bile duct Class B: Section/injury of an accessory duct/sectorial ducts aberrant right hepatic duct with no continuity with the common bile duct with occlusion Class C: Leak/open drainage from a sectorial duct/aberrant right hepatic duct with no continuity with the common bile duct Class D: Paial section/lateral injury of an extrahepatric duct bile duct with no complete loss of continuity with the rest of the bile duct system Class E: Complete section/circumferential injury of the bile duct with subtypes according to the length of the stump at various levels - E1- Stricture/injury at more than 2 cm distal to bifurcation. - E2 - Stricture/injury less than 2 cm distal to bifurcation. - E3 - Stricture/injury at bifurcation - E4 - Stricture/injury involving right and left hepatic ducts - E5 - Complete obstruction of entire bile duct Note: Only right and left paial injuries are not included in this classification SRB's Manual of Surgery, 4th Edition, pg. no. 708
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