title: Successful treatment of complex cholangiolithiasis following orthotopic liver transplantation with interventional radiology.
abstract: Bile duct stones are a serious and the third most common complication of the biliary system that can occur following liver transplantation. The incidence rate of bile duct stones after liver transplantation is 1.8%-18%. The management of biliary stones is usually performed with endoscopic techniques; however, the technique may prove to be challenging in the treatment of the intrahepatic bile duct stones. We herein report a case of a 40-year-old man with rare, complex bile duct stones that were successfully eliminated with percutaneous interventional techniques. The complex bile duct stones were defined as a large number of bile stones filling the intra- and extrahepatic bile tracts, resulting in a cast formation within the biliary tree. Common complications such as hemobilia and acute pancreatitis were not present during the perioperative period. The follow-up period was 20 mo long. During the postoperative period, the patient maintained normal temperature, and normal total bilirubin and direct bilirubin levels. The patient is now living a high quality life. This case report highlights the safety and efficacy of the percutaneous interventional approach in the removal of complex bile duct stones following liver transplantation.
authors: Chuan-Guo Zhou, Bao-Jie Wei, Kun Gao, Ding-Ke Dai, Ren-You Zhai, Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
authors: Chuan-Guo
authors: CG
authors: Zhou
authors: Chuan-Guo Zhou, Bao-Jie Wei, Kun Gao, Ding-Ke Dai, Ren-You Zhai, Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
authors: Bao-Jie
authors: BJ
authors: Wei
authors: Chuan-Guo Zhou, Bao-Jie Wei, Kun Gao, Ding-Ke Dai, Ren-You Zhai, Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
authors: Kun
authors: K
authors: Gao
authors: Chuan-Guo Zhou, Bao-Jie Wei, Kun Gao, Ding-Ke Dai, Ren-You Zhai, Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
authors: Ding-Ke
authors: DK
authors: Dai
authors: Chuan-Guo Zhou, Bao-Jie Wei, Kun Gao, Ding-Ke Dai, Ren-You Zhai, Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
authors: Ren-You
authors: RY
authors: Zhai
mesh_terms: D000328:Adult; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D057785:Catheters; D049448:Cholangiopancreatography, Magnetic Resonance; D002769:Cholelithiasis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D015641:Radiography, Interventional / Q000295:instrumentation / Q000379:methods*; D013105:Sphincterotomy, Transduodenal; D016896:Treatment Outcome
keywords: Complex bile duct stones; Extrahepatic bile tract; Intrahepatic bile tract; Liver transplantation; Percutaneous interventional technique