Cargando…
Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis
Hepatic artery thrombosis is a concerning complication of orthotopic liver transplantation, and it most often occurs early in the posttransplant period. However, on rare occasions it can occur at a time remote from transplant. We present a case of ischemic cholangiopathy complicated by stricture and...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American College of Gastroenterology
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202426/ https://www.ncbi.nlm.nih.gov/pubmed/30426033 http://dx.doi.org/10.14309/crj.2018.75 |
_version_ | 1783365678374322176 |
---|---|
author | Krajicek, Edward Sherman, Stuart Lacerda, Marco Johnson, Matthew S. Vuppalanchi, Raj |
author_facet | Krajicek, Edward Sherman, Stuart Lacerda, Marco Johnson, Matthew S. Vuppalanchi, Raj |
author_sort | Krajicek, Edward |
collection | PubMed |
description | Hepatic artery thrombosis is a concerning complication of orthotopic liver transplantation, and it most often occurs early in the posttransplant period. However, on rare occasions it can occur at a time remote from transplant. We present a case of ischemic cholangiopathy complicated by stricture and anastomotic bile leak from chronic hepatic artery thrombosis that occurred 11 years after the transplant. The initial biliary stenting helped with the resolution of the leak but she was found to have stones, sludge and copious pus at the time of stent exchange. Hepatic arteriography demonstrated complete occlusion of the transplant hepatic artery with periportal collaterals reconstituting intrahepatic hepatic arterial branches. The patient was subsequently referred for repeat liver transplantation. |
format | Online Article Text |
id | pubmed-6202426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | American College of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-62024262018-11-13 Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis Krajicek, Edward Sherman, Stuart Lacerda, Marco Johnson, Matthew S. Vuppalanchi, Raj ACG Case Rep J Case Report Hepatic artery thrombosis is a concerning complication of orthotopic liver transplantation, and it most often occurs early in the posttransplant period. However, on rare occasions it can occur at a time remote from transplant. We present a case of ischemic cholangiopathy complicated by stricture and anastomotic bile leak from chronic hepatic artery thrombosis that occurred 11 years after the transplant. The initial biliary stenting helped with the resolution of the leak but she was found to have stones, sludge and copious pus at the time of stent exchange. Hepatic arteriography demonstrated complete occlusion of the transplant hepatic artery with periportal collaterals reconstituting intrahepatic hepatic arterial branches. The patient was subsequently referred for repeat liver transplantation. American College of Gastroenterology 2018-10-24 /pmc/articles/PMC6202426/ /pubmed/30426033 http://dx.doi.org/10.14309/crj.2018.75 Text en Copyright © Krajicek et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Case Report Krajicek, Edward Sherman, Stuart Lacerda, Marco Johnson, Matthew S. Vuppalanchi, Raj Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis |
title | Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis |
title_full | Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis |
title_fullStr | Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis |
title_full_unstemmed | Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis |
title_short | Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis |
title_sort | ischemic cholangiopathy 11 years after liver transplantation from asymptomatic chronic hepatic artery thrombosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202426/ https://www.ncbi.nlm.nih.gov/pubmed/30426033 http://dx.doi.org/10.14309/crj.2018.75 |
work_keys_str_mv | AT krajicekedward ischemiccholangiopathy11yearsafterlivertransplantationfromasymptomaticchronichepaticarterythrombosis AT shermanstuart ischemiccholangiopathy11yearsafterlivertransplantationfromasymptomaticchronichepaticarterythrombosis AT lacerdamarco ischemiccholangiopathy11yearsafterlivertransplantationfromasymptomaticchronichepaticarterythrombosis AT johnsonmatthews ischemiccholangiopathy11yearsafterlivertransplantationfromasymptomaticchronichepaticarterythrombosis AT vuppalanchiraj ischemiccholangiopathy11yearsafterlivertransplantationfromasymptomaticchronichepaticarterythrombosis |