JPGN Reports · 3 authors, 1 centre
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This case report describes a novel percutaneous transhepatic technique in which a retained biliary stent was advanced into the bowel using a gooseneck snare through a small sheath, without subsequent biliary drain placement, in a 16-month-old pediatric liver transplant recipient.
A 16-month-old female with syndromic biliary atresia who had undergone left lateral segment liver transplantation at 8 months of age presented with persistently elevated alkaline phosphatase and moderate biliary dilatation due to a retained biliary stent. Under general anesthesia and ultrasound guidance, a dilated peripheral biliary duct was accessed using a 22-gauge needle and 5 Fr sheath. Initial cholangiogram confirmed biliary obstruction at the retained stent. Gel foam pledget tract embolization was performed for hemostasis. The procedure lasted 61 minutes with 6.3 minutes of fluoroscopy time.
