title: Treatment of a biliary-venous fistula following percutaneous biopsy in a pediatric living related liver transplant patient.
abstract: Liver biopsy is a common study performed after hepatic transplantation. Most centers routinely perform a biopsy 1 week after surgery to evaluate for the possibility of acute rejection. Subsequent biopsies are based on clinical symptoms and routine hepatic function laboratory testing. We report the clinical presentation and treatment of a biliary-venous fistula resulting in sepsis and bilhemia (elevated serum bilirubin levels caused by a biliary-venous fistula) in a 2(1/2)-year-old patient 4 months after partial left lateral segment living related liver transplantation. This case is unusual in that the fistula is the reversal of the more common venous-biliary fistula. The fistula developed after a percutaneous liver biopsy was performed.
authors.affiliation: Division of Vascular and Interventional Radiology, Mount Sinai Medical Center, Department of Radiology, New York, NY 10029-6574, USA. jlweintraub@post.harvard.edu
authors.forename: Joshua L
authors.initials: JL
authors.lastname: Weintraub
authors.forename: Ashraf
authors.initials: A
authors.lastname: Hawari
authors.forename: Benjamin
authors.initials: B
authors.lastname: English
authors.forename: David
authors.initials: D
authors.lastname: Mobley
mesh_terms: D001658:Biliary Fistula / Q000209:etiology* / Q000628:therapy; D001663:Bilirubin / Q000097:blood; D044963:Biopsy, Fine-Needle / Q000009:adverse effects*; D002404:Catheterization; D002675:Child, Preschool; D002758:Cholangiography; D002779:Cholestasis / Q000175:diagnosis / Q000628:therapy; D004322:Drainage; D006801:Humans; D008099:Liver / Q000473:pathology; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D018084:Ultrasonography, Interventional
chemical_list: D001663:Bilirubin