title: Mucocele of the cystic duct remnant after orthotopic liver transplant: a problem revisited.
abstract: Mucocele of the cystic duct remnant is an uncommon hepatobiliary complication of a liver transplant. Current practice usually involves either excising the cystic duct, or incorporating the distal end of the transected cystic duct into the suture line of the biliary anastomosis to ensure drainage. We report a patient who developed cystic duct remnant mucocele after the latter approach was adopted. We believe that this is likely related to delayed anastomotic stricturing, which prevented draining from the remnant cystic duct. We also discuss the incidence, pathology, investigations, and treatment of this condition.
authors.affiliation: Department of Hepatology, Freeman Hospital, Newcastle upon Tyne, United Kingdom. suvadip_chatterjee@yahoo.com
authors.forename: Suvadip
authors.initials: S
authors.lastname: Chatterjee
authors.forename: Debasish
authors.initials: D
authors.lastname: Das
authors.forename: Mark
authors.initials: M
authors.lastname: Hudson
authors.forename: Margaret Fiona
authors.initials: MF
authors.lastname: Bassendine
authors.forename: John
authors.initials: J
authors.lastname: Scott
authors.forename: Kofi Ernest
authors.initials: KE
authors.lastname: Oppong
authors.forename: Gourab
authors.initials: G
authors.lastname: Sen
authors.forename: Jeremy J
authors.initials: JJ
authors.lastname: French
mesh_terms: D000713:Anastomosis, Roux-en-Y; D049448:Cholangiopancreatography, Magnetic Resonance; D003549:Cystic Duct / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007582:Jejunostomy; D016031:Liver Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D009078:Mucocele / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013536:Suture Techniques / Q000009:adverse effects; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents