Fig. 8

A 48-year-old female 2 months after liver transplantation with duct-to-duct anastomosis as MRCP 3D MIP reconstructed coronal image showed a kink (blue arrow) at donor anterior bile duct/recipient bile duct anastomosis reflecting minimal anastomotic stricture, associated with moderate intrahepatic biliary stricture at the donor posterior bile duct (red arrow) resulting in post-transplant mixed biliary stricture (a). ERCP revealed a biliary stricture at the posterior sectoral bile duct (white arrow) (b). This patient was managed surgically by biliary-enteric reconstruction after endoscopic therapy failure by stents insertion. Follow up 4 months interval revealed moderate biliary strictures at anastomotic sites with no relief of intrahepatic biliary dilatation (c)