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Obstructive jaundice caused by biliary stone formation around the stent after liver transplantation
Author(s) -
Kawagishi Naoki,
Matsuo Chikashi,
Takeda Ikuo,
Miyagi Shigehito,
Satoh Kazushige,
Akamatsu Yorihiro,
Sekiguchi Satoshi,
Fujimori Keisei,
Satomi Susumu
Publication year - 2006
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2006.00590.x
Subject(s) - medicine , liver transplantation , stent , jaundice , bile duct , surgery , common bile duct , biliary atresia , transplantation
We report an unusual case of obstructive jaundice caused by a biliary stone, which developed in the stump of a Roux‐en‐Y hepaticojejunostomy after undergoing LT. The patient was a 13‐yr‐old male. At 74 days after birth, a hepaticojejunostomy (Kasai's procedure) was performed for the treatment of biliary atresia. He underwent a reduced size deceased donor LT in the left subphrenic space twice at the age of one and three years in Australia. Eleven years after his second LT, he developed liver dysfunction and jaundice with a low grade fever. Computed tomography showed a marked jejunal loop enlargement by a rugby ball‐shaped stone and the bile duct in the graft was thus dilated. A surgical exploration revealed the jejunal loop to be bent sharply while its stump side was dilated by stagnated bile including a biliary stone. The stone included a stent that had been previously used for the hepaticojejunostomy. This case suggests that a retained stent used for hepaticojejunostomy had thus caused biliary stone formation because of a combination of various conditions in the jejunal loop.