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Surgical management of unresectable perihilar cholangiocarcinoma is no longer relevant, often these patients benefit from less invasive endoscopic or radiological management, but in the event of failure of these techniques, and in selected patients, cholangiojejunostomy in segment 3 can be an effective option.We describe the case of a 48‐year‐old patient presenting an unresectable perihilar cholangiocarcinoma, palliative endoscopic management failed twice, and an open segment 3 intrahepatic cholangio‐jejunostomy was performed, the patient was discharged on the 7th day, has a complete resolution of jaundice at 1 month and is alive at 6 months without any readmission.