Publication Name	World Journal of Gastroenterology
Manuscript ID	122449
DOI	10.3748/wjg.122449
Country	Austria

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Biliary sunrise - bile color as visible sign for hepatic ischemia after iatrogenic partial liver de-arterialization: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Adrian Stelzl, Mohamed El-Mahrouk, Philipp Stiegler, Martin Wagner and Robert Sucher
Funding Agency and Grant Number
Corresponding Author	Mohamed El-Mahrouk, MD, Division of General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 29, Graz 8036, Steiermark, Austria. mohamed.el-mahrouk@medunigraz.at
Key Words	Hepatic ischemia; Liver de-arterialization; Bile color; Bile duct injury; Ischemic cholangiopathy; Case report
Core Tip	Hepatic ischemia occurs after hepatic arterial occlusion with concomitant injury to collaterals, most importantly the peribiliary vascular plexus. This case of combined bile duct and right hepatic artery injury demonstrates that regional differences in bile color correlate with the extent of segmental hepatic ischemia. Darker, more concentrated bile originated from more ischemic areas, whereas lighter bile indicated preserved perfusion. Changes in bile color, although not studied extensively in recent years, might reflect underlying alterations in bile composition. These macroscopic changes provide a simple, real-time indicator of hepatobiliary functional impairment and offer interesting insights into the pathophysiology of ischemic cholestasis.
Citation	Stelzl A, El-Mahrouk M, Stiegler P, Wagner M, Sucher R. Biliary sunrise - bile color as visible sign for hepatic ischemia after iatrogenic partial liver de-arterialization: A case report. World J Gastroenterol 2026; In press DOI: https://doi.org/10.3748/wjg.122449
PDF	122449-in-press.pdf

Received	2026-04-21 02:08
Peer-Review Started	2026-04-21 02:08
First Decision by Editorial Office Director	2026-04-29 10:19
Return for Revision	2026-04-29 10:19
Revised	2026-05-12 20:24
Publication Fee Transferred	2026-05-28 08:12
Second Decision by Editor	2026-06-23 02:17
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-23 05:48
Articles in Press	2026-06-23 05:48
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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