BILIARY COMPLICATIONS AFTER TRANSPLANTATION IN CHILDREN - ROLE OF IMAGING MODALITES

被引：21

作者：

PARIENTE, D

BIHET, MH

TAMMAM, S

RIOU, JY

BERNARD, O

DEVICTOR, D

GAUTHIER, F

HOUSSIN, D

CHAUMONT, P

机构：

[1] CTR HOSP BICETRE,DEPT PEDIAT,SERV HEPATOL,F-94270 LE KREMLIN BICETR,FRANCE

[2] CTR HOSP BICETRE,DEPT PEDIAT,SERV REANIMAT,F-94270 LE KREMLIN BICETR,FRANCE

[3] CTR HOSP BICETRE,DEPT PEDIAT,SERV CHIRURG,F-94270 LE KREMLIN BICETR,FRANCE

[4] HOP COCHIN,SERV CHIRURG DIGEST,F-75674 PARIS 14,FRANCE

来源：

PEDIATRIC RADIOLOGY | 1991年 / 21卷 / 03期

关键词：

D O I：

10.1007/BF02011040

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Among a series of 140 liver transplantations in children, 21 biliary complications (BC) (15%) are reported. BC were identified from 2 days to 3 months after LT. Positive US findings were present in 20 cases. Cholangiography was obtained by opacification of a surgical brain in 3 cases, per-operatively in 3 and by PTC in 15. Drainage was placed in 9 and ballon dilatation performed in 2. Causes of BC include hepatic artery (HA) thrombosis in 7. HA stenosis in 1, anastomosis stricture in 7, anastomosis kink in 3, mucocele of cystic duct remnant in 2 and sludge in 1. Treatment was surgical in all, but 2 cases were treated percutaneously. There is a great difference in severity of prognosis between complications secondary to HA thrombosis and isolated BC. Role of US in diagnosis and of PTC and interventional radiology in treatment are emphasized.

引用

页码：175 / 178

页数：4

共 9 条

[1] INFECTED BILOMAS AND HEPATIC-ARTERY THROMBOSIS IN INFANT RECIPIENTS OF LIVER-TRANSPLANTS - INTERVENTIONAL RADIOLOGY AND MEDICAL THERAPY AS AN ALTERNATIVE TO RETRANSPLANTATION [J].