Obstruction of the common bile duct by a cystic duct cyst in the recipient after liver transplantation
Aghzadi, R.; Boillot, O.; Bernard, O.; Houssin, D.; Chapuis, Y.
Annales de Chirurgie 44(6): 452-454
1990
ISSN/ISBN: 0003-3944 PMID: 2221790 Document Number: 352702
Four cases of tension mucocele of the cystic duct of the graft after orthotopic liver transplantation have been described in the English literature. We report the case of a mucocele of the recipient's cystic duct occurring in a patient who underwent liver transplantation for sclerosing cholangitis secondary to histiocytosis X. At variance with the 4 previously reported cases, this complication could be related to progression of the initial disease in the recipient's cystic duct. To avoid such a biliary complication in patients undergoing a liver transplantation for sclerosing cholangitis, resection of the extra-hepatic duct must be as large as possible and choledochojejunostomy seems to be the best procedure for biliary reconstruction.