title: Placement of an internal-external biliary drain through a bilio-enteric fistula in a neonate to re-establish antegrade bile flow after liver transplantation.
abstract: Three-month-old baby girl with history of post-liver transplant hepatic artery dissection treated with ligation after take down of the biliary anastomosis and placement of a surgical external common bile duct drain. There was persistent malfunction of this drain. A bilio-enteric fistula was noted during the later placement of an image guided percutaneous external drain. Subsequently, an internal-external biliary drain was successfully placed through this fistula. An excellent clinical and functional result was achieved.
authors.affiliation: Image Guided Therapy, Department of Diagnostic Imaging, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada.
authors.forename: Dimitri A
authors.initials: DA
authors.lastname: Parra
authors.forename: Annie
authors.initials: A
authors.lastname: Fecteau
authors.forename: Bairbre L
authors.initials: BL
authors.lastname: Connolly
mesh_terms: D001646:Bile / Q000502:physiology*; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery; D001662:Biliary Tract Surgical Procedures; D057785:Catheters; D002758:Cholangiography; D003135:Common Bile Duct / Q000601:surgery; D004322:Drainage / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005402:Fistula; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects*
keywords: biliary complication; biliary drain; bilio-enteric fistula