Download PDF
CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0044-1788728
Case Report

Management of a Portobiliary Fistula and Obstructive Biliopathy in a Split Liver Graft Transplant Recipient Posthepaticojejunostomy with Portal Stent Graft

Saurabh Kumar
1   Department of Interventional Radiology, Fortis Memorial Research Institute, Gurugram, Haryana, India
,
Apoorva Batra
1   Department of Interventional Radiology, Fortis Memorial Research Institute, Gurugram, Haryana, India
,
Vaibhaw Kumar
2   Department of Liver Transplant and Hepatobiliary Surgery, Fortis Memorial Research Institute, Gurugram, Haryana, India
,
Vivek Vij
2   Department of Liver Transplant and Hepatobiliary Surgery, Fortis Memorial Research Institute, Gurugram, Haryana, India
› Author Affiliations Funding None.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Biliary complications following liver transplantations, in the form of bile leak and bile duct strictures, are well recognized. Portobiliary fistulas in the transplant setting are rare, but may cause potentially life-threatening complications. The presented case shows the successful treatment of a hilar portobiliary fistula in a transplanted liver posthepaticojejunostomy with portal vein stent graft followed by biliary drainage with percutaneous hepaticojejunostomy stricture dilatation.

Keywords

portobiliary fistula - liver transplant - hepaticojejunostomy


Publication History

Article published online:
05 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Langer FB, Györi GP, Pokorny H. et al. Outcome of hepaticojejunostomy for biliary tract obstruction following liver transplantation. Clin Transplant 2009; 23 (03) 361-367
    CrossrefPubMedSearch in Google Scholar
  • 2 Peynircioglu B, Cwikiel W. Utility of stent-grafts in treatment of porto-biliary fistula. Cardiovasc Intervent Radiol 2006; 29 (06) 1156-1159
    CrossrefPubMedSearch in Google Scholar
  • 3 Murray F, Buetikofer S, Dutkowski P, Gubler C. Portobiliary fistula in a liver transplant recipient treated with an endoscopically deployed fully covered self-expandable biliary metal stent. ACG Case Rep J 2019; 6 (05) e00077
    CrossrefPubMedSearch in Google Scholar
  • 4 Ko GY, Sung KB, Yoon HK, Kim KR, Gwon DI, Lee SG. Percutaneous transhepatic treatment of hepaticojejunal anastomotic biliary strictures after living donor liver transplantation. Liver Transpl 2008; 14 (09) 1323-1332
    CrossrefPubMedSearch in Google Scholar