Herrera FI, Cuevas GM, Valadez RMT, Diez SP, Romero BBL, Moguel MNI, Flores AE

Language: Spanish
References: 7
Page: 39-42
PDF size: 218.80 Kb.

ABSTRACT

Objective. Presentation of a patient with bending of the common bile duct after liver transplantation, with emphasis on their radiological characteristics and literature review.
Methods: 5 years male with arcuation of the common bile duct as a rare complication of liver transplantation. The diagnosis was conducted with ultrasound in grey scale and Doppler color and was confirmed by CT multi-slice.
Result. The bending of the bile duct after the transplant was not suspected clinically; however, was discovered after control ultrasound and diagnosed since the first day after the transplant. The patient elevation of the bilirubin and clinical manifestations to the third day, justified the surgical intervention.
Conclusion. The bending of the bile duct, due to its length, is also cause of obstruction of the biliary tract. Nevertheless, it does not appear in the literature as part of the complications of the bile duct in children who underwent liver transplantation. We believe that this phenomenon must be taking into account when conducting control Doppler studies subsequent to transplantation.

REFERENCES

1. Wozney P, Zajko AB, Bron KM et al. Vascular complications after liver transplantation: a 5-year experience. AJR 1986;147:657–663.

2. Funaki B, Rosenblum JD, Leef JA et al. Percutaneous treatment of portal venous stenosis in children and adolescents with segmental hepatic transplants: long-term results. Radiology 2000;215:147–151.

3. Lee J, Ben-Ami T, Yousefzadeh D et al. Extrahepatic portal vein stenosis in recipients of living-donor allografts: Doppler sonography. AJR 1996;167:85–90.

4. Rollins NK, Sheffield EG, Andrews WS. Portal vein stenosis complicating liver transplantation in children: percutaneous transhepatic angioplasty. Radiology 1992;182:731–734.

5. Lisa Suzuki & Ilka R. S. de Oliveira & Azzo Widman. Real-time and Doppler US after pediatric segmental liver transplantation. Pediatr Radiol 2008;38:403–408.

6. Griffith JE, John ER, Imaging of biliary complications following paediatric liver transplantation Pediatr Radiol 1996;26:388-394.

7. Heffron TG, Emond JC, Whitington PF, Thisthethwaite JR Jr, Stevens L, Piper J. Iliary complications in paediatric liver transplantation. A comparison of reduced-size and whole grafts. Transplantation 1992;53:391-395.