Biliary Anastomotic Leakage following Orthotopic Liver Transplant: The Use of Primovist (Gadoxetate Disodium) as an Intravenous MR Cholangiography Contrast Agent for Biliary Leakage

We present a case of postoperative biliary anastomotic leakage demonstrated on intravenous contrast-enhanced MRI performed with Primovist (Gadoxetate Disodium). Primovist has been widely used for its combined extracellular and hepatocyte-specific properties in the characterization of liver lesions. Another recognized, but less widely utilized property of Primovist is its ability to provide morphologic and functional assessment of the biliary system. In our case, Primovist-enhanced MR imaging demonstrated the presence and location of an active biliary leakage which was associated with free spillage into the peritoneum.