Portal Inflow in Extensive Portomesenteric Thrombosis: Using the Pericholedochal Varix in Living Donor Liver Transplantation

Kishore Gurumoorthy Subramanya Bharathy; Shridhar Vasantrao Sasturkar; Piyush Kumar Sinha; Senthil Kumar; Viniyendra Pamecha

doi:10.1016/j.jceh.2016.10.007

Portal Inflow in Extensive Portomesenteric Thrombosis: Using the Pericholedochal Varix in Living Donor Liver Transplantation

J Clin Exp Hepatol. 2017 Mar;7(1):63-65. doi: 10.1016/j.jceh.2016.10.007. Epub 2016 Nov 4.

Authors

Kishore Gurumoorthy Subramanya Bharathy¹, Shridhar Vasantrao Sasturkar¹, Piyush Kumar Sinha¹, Senthil Kumar¹, Viniyendra Pamecha¹

Affiliation

¹ Department of Liver Transplantation and Hepato Pancreatico Biliary Surgery, Institute of Liver & Biliary Sciences, New Delhi, India.

Abstract

Extensive portomesenteric thrombosis presents a technical challenge in liver transplantation. Establishing portal inflow in living donor liver transplantation (LDLT) is indispensable to ensure regeneration of the graft. The use of a pericholedochal varix for inflow has been described only in a few case reports. Described herein is one such instance in the setting of LDLT, highlighting the nuances of this procedure in the light of available literature.

Keywords: CECT, contrast-enhanced computed tomography; DDLT, deceased donor liver transplantation; LDLT, living donor liver transplantation; living donor liver transplantation; pericholedochal varix; portal vein thrombosis.