Figure 8.

Sequels of hepatic artery thrombosis in a 28-year-old female patient transplanted for primary sclerosing cholangitis. Coronal maximum intensity projection reconstruction (A) from multidetector computed tomography (MDCT) arterial angiographic phase shows abrupt interruption of the hepatic artery at the anastomotic site (arrow). The venous phase from the same MDCT examination (B) shows subhepatic and intrahepatic hypoattenuating fluid collections that were shown to be bilomas at T-tube cholangiography (arrows in C). Magnetic resonance imaging shows rapid evolution to massive liver infarction on axial T2-weighted single-shot turbo-spin-echo imaging (D), with multiple intra- and extrahepatic biliary strictures on magnetic resonance cholangiography (arrows in E). Patient required urgent re-transplantation.