Case ReportOpen Access

An Interesting Rendezvous with an Unexpected Complication in a Liver Transplantation Patient with Very Tight Anastomotic Stricture

Volume 3 - Issue 4

**Matar Khaled¹, Matar Mohammad², Khamaysi Iyad³, Helal Ayman¹, Al Shami Salah¹, Abo JazrIyad¹, Rosros Hassan¹, Al nahhal Mousa¹ and Abo Amouna Ashraf ¹**

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- ¹European Gaza hospital-Gastroenterology and hepatology department, Gaza Strip-Palestine.
- ²Al Shifa Hospital-Interventional Radiology department, Department Gaza Strip-Palestine.
- ³Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa ,Israel.
*Corresponding author: Khaled Matar MD, Director, Invasive Endoscopy unit, Gastroenterology and hepatology department, European Gaza hospital, Gaza Strip-Palestine

Received: March 19, 2018; Published: April 06, 2018

DOI: 10.26717/BJSTR.2018.03.000927

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Abstract

An endoscopic or radiologic percutaneous approach may be an initial minimally invasive method for treating biliary strictures after living donor liver transplantation. However, cannulation of biliary strictures is sometimes difficult due to the presence of a sharp or twisted angle within the stricture or a complete stricture. The rendezvous technique can be used to overcome this difficulty. Herein, we report a modified rendezvous technique in for a patient with duct-to-duct anastomotic complete stricture after liver transplantation.

Keywords: Liver Transplantion; Bilo Pleural Fistula; ERCP; PTBD

Abbreviations: LDLT: Living Donor Liver Transplantation; ERCP: Endoscopic Retrograde Cholangio Pancreatography; PTBD: Percutaneous Transhepatic Biliary Drainage