Problem: Biliary leak is an uncommon postoperative complication of right upper quadrant interventions and is related to anatomical variations of the biliary tree.
Case Report: We present a patient with a biliary leak after laparoscopic cholecystectomy, where cholangiographic MRI revealed a 3C anatomical variant. Management included endoscopic retrograde cholangiopancreatography with biliary prosthesis placement.
Findings: We emphasize the importance of preoperative evaluation of the biliary anatomy to prevent complications.
Conclusion: The surgical complication was due to a very rare anatomical variation. However, more studies are needed on using advanced imaging to improve surgical safety and reduce costs associated with complications.
Keywords:
anatomical variation; endoscopic retrograde cholangiopancreatography; extrahepatic bile ducts; laparoscopic cholecystectomy; postoperative complications

