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Affected person 3, who had a earlier history of a left lateral segmentectomy because of IHD stones, was initially diagnosed as having mediastinal and subphrenic abscess combined with CBD stones. The perforation occurred on the left IHD in 9 patients. Five patients (patients 2, 3, 8, 10, and 11) had a previous historical past of operation on the hepatobiliary tract, ie, cholecystectomy, left lateral segmentectomy, or choledochoduodenostomy. Here, we carried out a single-stage operation involving a choledochal cyst resection and a hepaticojejunostomy, and the affected person had a very good recovery. Results All patients had acute abdominal ache, which was caused by intraabdominal abscess in 7 patients, diffuse bile peritonitis in 3, and subcapsular biloma in 1. Their major diseases were CBD stones in 7 patients, intrahepatic duct stone in 2, a choledochal cyst in 1, and phytobezoar with food stuff in the CBD in 1. Perforations occurred on the left intrahepatic duct in 9 patients, the CBD in 1, and the cyst wall in 1. All patients recovered, except 1 affected person who expired owing to multiorgan failure as a result of the operation could not be performed in time. In this study, 1 patient died of multiorgan failure after her remedy was delayed for 7 days without correct prognosis and her clinical course worsened owing to septic shock. One patient (patient 1) died of multiorgan failure on the primary day postoperatively.