title: Posttransplant bilioportal fistula with portal vein thrombosis: a case report.
abstract: An 8-year-old female patient, known to have post-Kasai biliary atresia with mild intrapulmonary shunting, underwent living donor liver transplantation because of recurrent cholangitis. After the treatment of postoperative biliary stricture with percutaneous transhepatic biliary drainage, the patient subsequently developed hematochezia with portal vein thrombosis. The intraoperative findings showed portal vein thrombosis with a bilioportal fistula. We performed closure of the bilioportal fistula and reconstruction of the portal vein with a native internal jugular vein interposition graft. A bilioportal fistula due to percutaneous hepatobiliary procedures is a reportedly a rare complication following liver transplantation. The patient is currently doing well after a successful surgical intervention.
authors.affiliation: Department of Transplant Surgery, National Center for Child Health and Development, Tokyo, Japan. kasahara-m@ncchd.go.jp
authors.forename: M
authors.initials: M
authors.lastname: Kasahara
authors.forename: S
authors.initials: S
authors.lastname: Sakamoto
authors.forename: A
authors.initials: A
authors.lastname: Fukuda
authors.forename: T
authors.initials: T
authors.lastname: Shigeta
authors.forename: H
authors.initials: H
authors.lastname: Tanaka
authors.forename: N
authors.initials: N
authors.lastname: Mastuno
authors.forename: M
authors.initials: M
authors.lastname: Hashimoto
authors.forename: Y
authors.initials: Y
authors.lastname: Kondo
authors.forename: S
authors.initials: S
authors.lastname: Nosaka
authors.forename: A
authors.initials: A
authors.lastname: Nakazawa
mesh_terms: D001656:Biliary Atresia / Q000150:complications / Q000601:surgery; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002648:Child; D002761:Cholangitis / Q000209:etiology / Q000601:surgery; D004322:Drainage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000637:transplantation; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000601:surgery; D011172:Portography / Q000379:methods; D012008:Recurrence; D012086:Reoperation; D017131:Thrombectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D058017:Vascular Grafting; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery