Adani Gian Luigi, Baccarani Umberto, Lorenzin Dario, Risaliti Andrea, Como Giuseppe, Gasparini Daniele, Sponza Massimo, Bresadola Vittorio, Bresadola Fabrizio
Department of Surgery and Transplantation, Udine University School of Medicine, 33100 Udine, Italy.
Cardiovasc Intervent Radiol. 2007 Mar-Apr;30(2):339-41. doi: 10.1007/s00270-005-0356-x.
Biliary reconstruction continues to be a major source of morbidity following liver transplantation. The spectrum of biliary complications is evolving due to the increasing number of split-liver and living-donor liver transplantation, which are even associated with a higher incidence of biliary complications. Bile duct strictures are the most common cause of late biliary complications and account for up to 40% of all biliary complications. Optimal therapy for posttransplantation anastomotic biliary strictures remains uncertain and requires a multidisciplinary approach. We report the case of a 54-year-old Caucasian male affected by hepatocarcinoma and hepatitis C-related cirrhosis who underwent right-lobe living-donor liver transplantation from his son complicated by double anastomotic stenosis of the main right hepatic duct and of an accessory biliary duct draining segments 6 and 7 of the graft that was successfully treated by percutaneous transhepatic cholangiography with long-term subcutaneous placement of two internal Rüsch-type biliary stents.
