Liver rupture biliary fistula, through conservative treatment, it is difficult to cure, need to be operated as soon as possible to avoid delaying the condition. Hepatic rupture biliary fistula, indicating that the patient’s liver rupture is more serious, resulting in obvious bile duct fracture, can be under the guidance of the doctor according to the individual situation to choose the appropriate surgical treatment, if necessary, can be carried out necrotic tissue excision. After the surgery, we must strengthen the drainage to avoid local bile and seepage stagnation, at the same time, we can also place a drainage tube to drain out the seepage of the abdominal cavity through drainage, regular review of ultrasound and CT to adjust the position of the drainage tube is very important. In case of biliary fistula in ruptured liver, you should go to the hospital in time and have targeted professional treatment under the guidance of the doctor.