Traumatic biliary injuries (blunt or penetrating) are rare, occurring in about 0.1% of all trauma admissions and in 2.8-7.4% of cases following blunt hepatic injuries. The liver is the commonest injured organ with a prevalence of 1-8% in polytrauma cases and a mortality rate of 4.1-11.7%. Traumatic hepatobiliary injuries require rapid diagnosis and intervention due to the significant associated morbidities and mortalities. We report the case of a 17-year-old male who presented with shock following an electronic scooter accident with high suspicion of intra-abdominal haemorrhage. Red blanket protocol and trauma respond was activated. The patient was intubated and transferred to the operating theatre for urgent damage control laparotomy. Intraoperatively, there was significant haemoperitoneum, a large defect in the right portal vein, a completely avulsed gallbladder, transection injury to the right posterior sectional duct and right liver laceration. Four quadrant packing and vascular injury repair was performed. 16 units of packed red cells were transfused intraoperatively. The patient was admitted to the intensive care unit while awaiting transfer to a tertiary centre for ongoing management. We present this case to discuss the management and postoperative outcome of traumatic hepatobiliary injury in a rural setting with limited resources, and to highlight the importance of early intervention. We present a literature review of the different types of hepatobiliary injuries and complications that may result from delayed detection of traumatic hepatobiliary injuries.