Successful treatment with a covered stent and 6-year follow-up of biliary complication after liver transplantation.
The role of covered stent in the management of biliary complications is not yet defined in liver transplant recipients. This Case Report presents a patient with anastomotic stricture and leakage with biloma treated with a covered stent 32 months following liver transplantation. Signs of in-stent restenosis developed 52 months following covered stent placement, which was resolved by balloon dilation. There were no complications during the interventions. The latest follow-up, at 69 months following primary and 19 months following secondary percutaneous intervention, shows a patent covered stent without any clinical or morphological sign of further restenosis. The clinical success with long-term follow-up data suggests that covered stent implantation can be a rational, minimally invasive option for simultaneous treatment of bile duct stenosis and bile leak following liver transplantation in selected cases.
Doros
Attila
A
Department of Transplantation and Surgery, Semmelweis University, Baross 23-25, Budapest 1082, Hungary. dorattila@yahoo.com
Németh
Andrea
A
Deák
Akos Pál
AP
Hartmann
Erika
E
Gerlei
Zsuzsa
Z
Fazakas
János
J
Kóbori
László
L