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Cystic duct remnant mucocele in a liver transplant recipient

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Abstract

Cystic duct remnant mucocele is an extremely rare complication of liver transplantation in children. Surgical correction is usually required for cystic duct remnant mucocele when it causes biliary obstruction. We describe a 14-month-old liver transplant recipient who presented with biliary obstruction 1 month after orthotopic liver transplantation with an end-to-end choledochocholedocal biliary anastomosis for hepatoblastoma. US, CT and cholangiography findings were consistent with mucocele of the allograft cystic duct remnant. Surgery was not needed in our patient because the mucocele and biliary obstruction had resolved on repeat imaging most likely due to guidewire manipulation during cholangiography, resulting in opening of the cystic duct remnant orifice and drainage into the common duct.

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Author notes

  1. Sushil K. Ahlawat

    Present address: New Jersey Medical School, University of Medicine and Dentistry of New Jersey, 185 South Orange Ave, Newark, NJ, 07103, USA

Authors and Affiliations

  1. Department of Medicine, Division of Gastroenterology, Georgetown University Hospital, Washington, DC, USA

    Sushil K. Ahlawat & Thomas M. Fishbien

  2. Department of Surgery, Division of Transplant Surgery, Georgetown University Hospital, Washington, DC, USA

    Nadim G. Haddad

Authors
  1. Sushil K. Ahlawat
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  2. Thomas M. Fishbien
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  3. Nadim G. Haddad
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Correspondence to Sushil K. Ahlawat.

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Ahlawat, S.K., Fishbien, T.M. & Haddad, N.G. Cystic duct remnant mucocele in a liver transplant recipient. Pediatr Radiol 38, 884–886 (2008). https://doi.org/10.1007/s00247-008-0825-x

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  • DOI: https://doi.org/10.1007/s00247-008-0825-x

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