Abdominal cross-sectional imaging of the associating liver partition and portal vein ligation for staged hepatectomy procedure

Figure 9 Recurrence appears with multidetector computed tomography and/or magnetic resonance imaging signs of the original tumor, though recurrence can manifest with pleomorphic, nonspecific appearance in our experience. A, B: Multifocal recurrent cholangiocarcinoma presenting 16 mo after right trisectionectomy associating liver partition and portal vein ligation for staged hepatectomy. Lesions showed atypical persistently hypovascular appearance on dynamic contrast-enhanced multidetector computed tomography; C-E: Wedge resection of recurrences was complicated by biliary leakage, as shown on percutaneous transhepatic cholangiography (arrow in C), treated by positioning a drainage within the biloma and a biliary stent graft, as shown on maximum intensity projection reconstruction in D and oblique sagittal reformation in E.