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- Title
Percutaneous Transhepatic Single-Operator Cholangioscopy-Guided Intraductal Stone Therapy in a Liver Transplant Patient With Ischemic Cholangiopathy.
- Authors
Stadmeyer, Peter; Dalvie, Prasad; Hubers, Jeffrey; Gopal, Deepak
- Abstract
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.
- Subjects
GALLSTONE diagnosis; GALLSTONE treatment; ENDOSCOPIC retrograde cholangiopancreatography; SURGICAL complications; BILE duct diseases; LIVER transplantation; LITHOTRIPSY; TRANSPLANTATION of organs, tissues, etc.
- Publication
ACG Case Reports Journal, 2021, Vol 8, Issue 6, p1
- ISSN
2326-3253
- Publication type
Article
- DOI
10.14309/crj.0000000000000595