“…If there is generalized bile peritonitis, fluid and electrolyte replacement plus broad spectrum antibiotic coverage to correct multi-organ failure should be followed by urgent surgical re-intervention. Surgery should include, at a minimum, peritoneal lavage and placement of drains adjacent to the fistula; if possible, a new cholangiography should be performed to rule out obstruction of the CBD, and to allow for external drainage, either with a new T-tube or a cystic duct drain [6,7,12,28,29]. Extensive sub-hepatic inflammatory adhesions may render exposure of the CBD impossible; this has led some authors to limit their re-intervention to lavage combined with sub-hepatic drainage or simple re-intubation of the leaking T-tube tract at a distance from the CBD [6,11,29] (Fig.…”