Saudi Journal of Gastroenterology

QUIZ
Year
: 2006  |  Volume : 12  |  Issue : 1  |  Page : 39-

Post liver transplantation complications


Ahmad Helmy 
 Department of Liver Transplantation, Hepatobiliary & Pancreatic Surgery, King Faisal Specialist Hospital & Research Center (KFSH&RC), MBC: 72, PO Box: 3354, Riyadh 11211, Saudi Arabia

Correspondence Address:
Ahmad Helmy
Department of Liver Transplantation, Hepatobiliary & Pancreatic Surgery, King Faisal Specialist Hospital & Research Center (KFSH&RC), MBC: 72, PO Box: 3354, Riyadh 11211
Saudi Arabia




How to cite this article:
Helmy A. Post liver transplantation complications.Saudi J Gastroenterol 2006;12:39-39


How to cite this URL:
Helmy A. Post liver transplantation complications. Saudi J Gastroenterol [serial online] 2006 [cited 2020 Sep 27 ];12:39-39
Available from: http://www.saudijgastro.com/text.asp?2006/12/1/39/27746


Full Text

 Background



Panel A is an abdominal MRI image of a 55-years old male who underwent dual living-donor liver transplantation for HBV-related end-stage liver disease. During his routine follow up, a rise in his serum levels of alkaline phosphatase and -glutamyle transferase was noted.

Panel B is an ultrasound image from the same patient showing an additional abnormality to that shown in the MRI.

 Questions?



1. What abnormalities can be seen?

2. What further intervention(s) need to be done?

 Hint:



Think of the commonest surgical complication of living-donor liver transplantation that cause rise in these enzymes.

 Answers:



1. Biloma in between and below the two grafts (near the site of the gall bladder) in addition to intrahepatic biliary dilatation in the right graft only.

2. ERCP, MRCP, possible endoscopic, interventional radiological or surgical correction depending on site and character of obstructions. No intervention for the biloma provided that no complications develop, e.g. infection, rupture, or mechanical compression.