This case involved middle-aged male who presented with multiple gallstones in the gallbladder, one of which was lodged in the gallbladder neck. The defendant performed a laparoscopic cholecystectomy on 10/23/06. Upon visualization of the surgical field, the defendant encountered multiple adhesions, which required tedious dissection. After decompression of the tense gallbladder, the defendant dissected the cystic duct and artery out of the surrounding tissue. An intraoperative cholangiogram revealed a dilated common bile duct and short cystic duct. The defendant then transected what he believed to be the cystic duct but during dissection of the gallbladder from the hepatic bed, he discovered a structure leaking bile into the surgical field. A cholangiogram at that point revealed that the cystic duct had been divided at its junction with the common hepatic duct, resulting in an approximately 3 cm defect in the common hepatic duct.