Abstract
Transhepatic cholangiography is commonly performed during postoperative evaluation of liver transplant patients. The authors describe a potential pitfall in the interpretation of these studies and illustrate that dilated interrupted lymphatics of the donor liver can mimic a periductal leak of contrast material.
Similar content being viewed by others
References
Starzl TE, Iwatsuki S, Shaw BW Jr, Gordon RD. Orthotopic liver transplantation in 1984.Transplant Proc 1985; 17:250–258
Zajko AB, Bron KM, Campbell WL, Behal R, Van Thiel DH, Starzl TE. Percutaneous transhepatic cholangiography and biliary drainage after liver transplantation: A five-year experience.Gastrointest Radiol 1987; 12:137–143
Starzl TE, Putman CW, Hansbrough JF, Porter KA, Reid HAS. Biliary complications after liver transplantation: With special reference to the biliary cast syndrome and techniques of secondary duct repair.Surgery 1977; 81:212–221
Cardella JF, Amplatz K. Postoperative angiographic and interventional radiologic evaluation of liver recipients.Radiol Clin North Am 1987; 25:309–321
Clain D, McNulty J. A radiologic study of the lymphatics of the liver.Br J Radiol 1968; 41:662–668
Roviere H. The lymphatics of the liver, the biliary passages, and the pancreas. In:Anatomy of the human lymphatic system. Edwards Brother, Inc, 1938.
Marincek B, Barbier PA, Becker CD, Mettler D, Ruchti C. CT appearance of impaired lymphatic drainage in liver transplants.AJR 1986; 147:519–523
Huth F, Wilde A, Schulten JH, Berger S. Morphologische Beitrage zur Pathophysiologie des Lymphgefassystems der Leber.Virchows Arch [A] 1970; 351:41–67
Northover JMA, Terblanche J. A new look at the arterial supply of the bile duct in man and its surgical implications.Br J Surg 1979; 66:379–384
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Rabin, A.M., Abramson, A.F., Manzarbeitia, C. et al. Dilated periportal lymphatics mimicking an anastomotic bile leak after liver transplantation. Gastrointest Radiol 16, 337–338 (1991). https://doi.org/10.1007/BF01887383
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01887383