PMC6202426_01
Magnetic resonance cholangiopancreatography image showing a normal-caliber common bile duct, a pancreatic duct with stricture, and massive intrahepatic biliary duct dilation.
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F1
Evaluation with magnetic resonance cholangiopancreatography revealed severe donor-duct biliary dilation, anastomotic stricture, and periductal cystic changes with normal recipient common duct and pancreatic duct caliber (Figure 1).
(A) Fluoroscopic image of cholangiogram with biliary stricture and stones. (B) Endoscopic image of pus and sludge draining from common bile duct stent.
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F2
Repeat ERCP for stent exchange showed severe dilation of the donor ducts with stones, sludge, and copius pus (Figure 2).
Angiographic image of the celiac artery showing the abrupt termination of common hepatic artery with significant collateralization arising from the gastroduodenal artery.
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F3
Hepatic arteriography demonstrated complete occlusion of the transplant hepatic artery with periportal collaterals reconstituting intrahepatic hepatic arterial branches (Figure 3).