Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy

Ischemic cholangiopathy is a feared complication after liver transplantation. We present a 68-year-old man who is status postorthotopic liver transplant from a donation after cardiac death. His posttransplant course was complicated by the development of a biliary anastomotic stricture, ischemic chol...

Descripción completa

Detalles Bibliográficos
Autores principales: Stadmeyer, Peter, Dalvie, Prasad, Hubers, Jeffrey, Gopal, Deepak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8177873/
https://www.ncbi.nlm.nih.gov/pubmed/34109253
http://dx.doi.org/10.14309/crj.0000000000000595
_version_ 1783703465392865280
author Stadmeyer, Peter
Dalvie, Prasad
Hubers, Jeffrey
Gopal, Deepak
author_facet Stadmeyer, Peter
Dalvie, Prasad
Hubers, Jeffrey
Gopal, Deepak
author_sort Stadmeyer, Peter
collection PubMed
description Ischemic cholangiopathy is a feared complication after liver transplantation. We present a 68-year-old man who is status postorthotopic liver transplant from a donation after cardiac death. His posttransplant course was complicated by the development of a biliary anastomotic stricture, ischemic cholangiopathy, biloma, recurrent cholangitis, and intrahepatic stones. Through the use of antegrade cholangioscopy with a single-operator cholangioscope (SpyGlass 2; Boston Scientific, Boston, MA) passed through a percutaneous sheath, we were able to visualize impacted stones within the left intrahepatic system and treat them using electrohydraulic lithotripsy for stone fragmentation and removal.
format Online
Article
Text
id pubmed-8177873
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Wolters Kluwer
record_format MEDLINE/PubMed
spelling pubmed-81778732021-06-08 Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy Stadmeyer, Peter Dalvie, Prasad Hubers, Jeffrey Gopal, Deepak ACG Case Rep J Case Report Ischemic cholangiopathy is a feared complication after liver transplantation. We present a 68-year-old man who is status postorthotopic liver transplant from a donation after cardiac death. His posttransplant course was complicated by the development of a biliary anastomotic stricture, ischemic cholangiopathy, biloma, recurrent cholangitis, and intrahepatic stones. Through the use of antegrade cholangioscopy with a single-operator cholangioscope (SpyGlass 2; Boston Scientific, Boston, MA) passed through a percutaneous sheath, we were able to visualize impacted stones within the left intrahepatic system and treat them using electrohydraulic lithotripsy for stone fragmentation and removal. Wolters Kluwer 2021-06-07 /pmc/articles/PMC8177873/ /pubmed/34109253 http://dx.doi.org/10.14309/crj.0000000000000595 Text en © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Stadmeyer, Peter
Dalvie, Prasad
Hubers, Jeffrey
Gopal, Deepak
Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy
title Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy
title_full Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy
title_fullStr Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy
title_full_unstemmed Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy
title_short Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy
title_sort percutaneous transhepatic single-operator cholangioscopy-guided intraductal stone therapy in a liver transplant patient with ischemic cholangiopathy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8177873/
https://www.ncbi.nlm.nih.gov/pubmed/34109253
http://dx.doi.org/10.14309/crj.0000000000000595
work_keys_str_mv AT stadmeyerpeter percutaneoustranshepaticsingleoperatorcholangioscopyguidedintraductalstonetherapyinalivertransplantpatientwithischemiccholangiopathy
AT dalvieprasad percutaneoustranshepaticsingleoperatorcholangioscopyguidedintraductalstonetherapyinalivertransplantpatientwithischemiccholangiopathy
AT hubersjeffrey percutaneoustranshepaticsingleoperatorcholangioscopyguidedintraductalstonetherapyinalivertransplantpatientwithischemiccholangiopathy
AT gopaldeepak percutaneoustranshepaticsingleoperatorcholangioscopyguidedintraductalstonetherapyinalivertransplantpatientwithischemiccholangiopathy

Ejemplares similares