<b>Bile Leakage during Laparoscopic Cholecystectomy A rare case of Aberrant Anatomy</b> Bile leakage in association with cholecystectomy is a well known complication. Common causes include damage to the biliary ducts and slipping of clips ties. Here I describe a rare case of bile leakage which resulted due to aberrant biliary anatomy. A thirty four year old lady undergoing laparoscopic cholecystectomy developed bile leakage. It was not clear where the bile was leaking from. Therefore an intraoperative cholangiogram was performed. We found an accessory hepatic duct in the liver of this patient was draining separately from the rest of the biliary system. The laparoscopic operation had to be converted to open cholecystectomy in order to control the bile leakage. It can be concluded that the anatomy of the biliary tree is highly variable and the importance of intra operative cholangiograms during cholecystectomy should be emphasized. Laparoscopic Cholecystectomy complications, Bile leakage. 422-427 Issue-6 Volume-1 Sumaira Nawaz Syed