Magnetic compression anastomosis for post-traumatic disconnected bile duct

An 18-year-old male underwent to an emergent open cholecystectomy in another hospital after blunt abdomi- nal trauma and referred to our hospital for further biliary interventions with a diagnosis of liver laceration and ic- terus (total bilirubin : 27.2 mg/dL ; normal < 1.2 mg/dL). Magnetic resonance cholangiopancreatography showed disconnection between left hepatic duct and common he- patic duct. We decided to perform magnetic compression anastomosis [MCA] technique using the recently intro- duced (1) through-the- scope magnet (OBF, Istanbul, Turkey). The magnet is nickel-coated, cylindrical neo- dymium- iron-boron earth magnet each with a diameter of 2.4 mm and a length of 5 mm. Magnets have a hole in their centers to permit the advancing of a 0.038-inch guidewire. They have side holes at the distal sides for the attachment of a retrieval loop. Written informed consent was obtained from the patient.