A 40-year-old male presented with a trans-axial thoraco-abdominal gunshot wound. He was hemodynamically unstable, and a damage control laparotomy was performed. Gastric and diaphragmatic injuries were repaired and a grade IV liver injury was packed. The packs were removed after 24 h and a closed suction drain was left in the subhepatic space. Six days after laparotomy, CT abdomen showed non-perfusion of liver segments 2 and 3, a large central intrahepatic hematoma and a subhepatic collection. A percutaneous ultrasound-guided puncture of the collection returned bile and an 8 Fr pigtail drain was placed. He subsequently developed a persistent bile leak and rising serum bilirubin (13-38 mmol/L). ERC demonstrated extravasation of contrast into the subhepatic space and no filling of the proximal bile ducts. MRCP showed complete disruption of the extrahepatic bile duct but an intact confluence. A PTC was performed noting a porto-biliary fistula and an 8 Fr PTBC was positioned into the subhepatic space. At extraluminal PTC/ERC rendezvous a 10 x 80 mm fully covered SEMS was placed, bridging the defect (Fig. 2). The patient developed haemobilia 48 h later. Angiography showed a bleeding right hepatic artery false aneurism successfully managed with an endovascular stent.