PMC6758928_01
Computed tomography images at the level of splenic hilum before (A) and after (B) portal vein embolization showing hypertrophy of segment 3.
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F1
After 25 days the FLR enlarged to 50% of the liver volume with a volume gain of 104% and kinetic growth rate of 5.8% per week (Figure 1).
Endoscopic retrograde cholangiopancreatography (ERCP):the left biliary tree (arrow) is cannulated (A) which is well-demonstrated with contrast (B) including the extravasation at the hilum (arrowhead). The percutaneously placed pigtail drain is also seen.
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F2
An endoscopic retrograde cholangiopancreatography (ERCP) and a plastic stent were placed in the left hepatic duct, however, the bile leak persisted (Figure 2).
Intraoperative photograph showing the stent protruding into the peritoneal cavity (arrow) from the hepatic duct confluence.
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F3
On exploration, the stent was found protruding into the peritoneal cavity at the hepatic duct confluence (Figure 3).
Fluoroscopy image showing completed hepaticojejunostomy with internoexternal stent with contrast in the jejunal limb (arrow).
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F4
After successful cannulation of the biliary system, an interno-external stent was placed across the anastomosis (Figure 4).