Liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injury
Biliary injury secondary to trauma is frequently associated with long-term complications. Liver transplantation is rarely indicated but might be the best therapeutic option in severe or intractable cases. We report the case of a 19-year-old male referred for liver transplantation due to biliary inju...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323008701 |
| _version_ | 1797357762201518080 |
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| author | André Mascarenhas, MD Hugo Pinto Marques, MD, PhD João Coutinho, MD Américo Martins, MD Fernando Nolasco, MD, PhD |
| author_facet | André Mascarenhas, MD Hugo Pinto Marques, MD, PhD João Coutinho, MD Américo Martins, MD Fernando Nolasco, MD, PhD |
| author_sort | André Mascarenhas, MD |
| collection | DOAJ |
| description | Biliary injury secondary to trauma is frequently associated with long-term complications. Liver transplantation is rarely indicated but might be the best therapeutic option in severe or intractable cases. We report the case of a 19-year-old male referred for liver transplantation due to biliary injury after abdominal trauma. A Roux-en-Y hepaticojejunostomy was initially performed without immediate complications. Anastomotic stricture developed requiring several trials of biliary dilatation and stenting through a percutaneous approach. The presence of liver cirrhosis and the intractability of this complication culminated in the decision of liver transplantation. The authors present clinical course, complications and interventional procedures that were used in a judicious step-up approach. |
| first_indexed | 2024-03-08T14:49:42Z |
| format | Article |
| id | doaj.art-2bed05bc1ef7498db904a1fab40463b7 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-08T14:49:42Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-2bed05bc1ef7498db904a1fab40463b72024-01-11T04:30:54ZengElsevierRadiology Case Reports1930-04332024-03-01193835838Liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injuryAndré Mascarenhas, MD0Hugo Pinto Marques, MD, PhD1João Coutinho, MD2Américo Martins, MD3Fernando Nolasco, MD, PhD4Department of Gastroenterology, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal; Corresponding author.Hepato-Biliary-Pancreatic Unit, Centro Hospitalar de Lisboa Central, Lisbon, PortugalDepartment of Surgery, Centro Hospitalar de Lisboa Norte, Lisbon, PortugalHepato-Biliary-Pancreatic Unit, Centro Hospitalar de Lisboa Central, Lisbon, PortugalHepato-Biliary-Pancreatic Unit, Centro Hospitalar de Lisboa Central, Lisbon, PortugalBiliary injury secondary to trauma is frequently associated with long-term complications. Liver transplantation is rarely indicated but might be the best therapeutic option in severe or intractable cases. We report the case of a 19-year-old male referred for liver transplantation due to biliary injury after abdominal trauma. A Roux-en-Y hepaticojejunostomy was initially performed without immediate complications. Anastomotic stricture developed requiring several trials of biliary dilatation and stenting through a percutaneous approach. The presence of liver cirrhosis and the intractability of this complication culminated in the decision of liver transplantation. The authors present clinical course, complications and interventional procedures that were used in a judicious step-up approach.http://www.sciencedirect.com/science/article/pii/S1930043323008701Extrahepatic biliary tree injurySecondary biliary cirrhosisLiver transplantationAbdominal trauma |
| spellingShingle | André Mascarenhas, MD Hugo Pinto Marques, MD, PhD João Coutinho, MD Américo Martins, MD Fernando Nolasco, MD, PhD Liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injury Radiology Case Reports Extrahepatic biliary tree injury Secondary biliary cirrhosis Liver transplantation Abdominal trauma |
| title | Liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injury |
| title_full | Liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injury |
| title_fullStr | Liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injury |
| title_full_unstemmed | Liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injury |
| title_short | Liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injury |
| title_sort | liver cirrhosis requiring transplantation in the context of hepaticojejunostomy stricture after a traumatic bile duct injury |
| topic | Extrahepatic biliary tree injury Secondary biliary cirrhosis Liver transplantation Abdominal trauma |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323008701 |
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