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Percutaneous Transhepatic Cholangiography and Biliary Drainage in Pediatric Liver Transplant Patients

Jonathan M. Lorenz1, Brian Funaki, Jeffrey A. Leef, Jordan D. Rosenblum and Thuong Van Ha

1 All authors: Department of Radiology, The University of Chicago Hospitals, 5841 S. Maryland Ave., MC 2026, Chicago, IL 60637.



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Fig. 1A. 11-year-old girl with left lateral segment transplant graft and elevated liver enzyme levels. Cholangiogram shows that access to two different bile ducts was required before successful cannulation was achieved. Despite presence of nondilated ducts, biliary—enteric stricture (arrow) is present.

 


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Fig. 2A. 12-year-old boy with whole-liver transplant graft and elevated liver enzyme levels. Cholangiogram shows that biliary access was achieved via nondilated right-sided bile duct. Left sided intrahepatic bile ducts are moderately dilated.

 


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Fig. 1B. 11-year-old girl with left lateral segment transplant graft and elevated liver enzyme levels. Internal—external 6-French drainage catheter was placed via segment III bile duct.

 


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Fig. 2B. 12-year-old boy with whole-liver transplant graft and elevated liver enzyme levels. Cholangiogram shows that drainage catheter was subsequently placed.

 


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Fig. 3. Flow diagram shows attempts, successes, and failures of PTC and biliary drainage.

 

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