Non-surgical trauma to the extrahepatic biliary tract is uncommon and
encountered only rarely by surgeons outside specialist hepatobiliary c
enters. Such injury often results in significant morbidity and mortali
ty. This review outlines the incidence, classification, mechanisms of
injury, presentation, diagnostic techniques and management options. De
pending on the type of biliary injury identified, an optimal method of
repair is suggested. Recommendations are made for surgeons who encoun
ter this type of injury and do not have the appropriate expertise for
definitive management.