Interventional radiology procedures in adult patients who underwent liver transplantation

Figure 7 Status post LRLT (right lobe) in 56-year-old woman. Two separate biliary anastomoses were performed. Approximately 300 mL of bile was drained every day from the existing perihepatic drainage catheter (JP) placed during the transplantation. ERCP was performed, revealing a BL from the anastomotic region. An endoscopic stent was deployed in the posterior duct anastomosis but endoscopy failed to place a stent in the anterior duct anastomosis. A: PTC of the anterior duct showed no bile ducts dilatation and a BL arising from the anastomosis; B: 12F external internal catheter without side holes was placed in the leak region. The bile output from the JP progressively reduced and stopped a few days later. The JP and the endoscopic stent were removed 1 mo later; C: Final cholangiogram performed 4 mo later showed no BL and patent biliary anastomosis. The catheter was removed. The patient is still in good condition after 12 mo of follow-up.