Cystic duct remnant mucocele in a liver transplant recipient
- 102 Downloads
Cystic duct remnant mucocele is an extremely rare complication of liver transplantation in children. Surgical correction is usually required for cystic duct remnant mucocele when it causes biliary obstruction. We describe a 14-month-old liver transplant recipient who presented with biliary obstruction 1 month after orthotopic liver transplantation with an end-to-end choledochocholedocal biliary anastomosis for hepatoblastoma. US, CT and cholangiography findings were consistent with mucocele of the allograft cystic duct remnant. Surgery was not needed in our patient because the mucocele and biliary obstruction had resolved on repeat imaging most likely due to guidewire manipulation during cholangiography, resulting in opening of the cystic duct remnant orifice and drainage into the common duct.
KeywordsCholangiography Mucocele Cystic duct Liver transplant Child
- 1.Linder HH, Green RB (1964) Embryology and surgical anatomy of the extra-hepatic biliary tree. Surg Clin North Am 44:1273–1285Google Scholar