Postoperative biliary adverse events following orthotopic liver transplantation: Assessment with magnetic resonance cholangiography

Figure 3 Anastomotic leak in a patient with hepatico-jejunostomy. A: Single-shot thick-slab magnetic resonance cholangiogram shows a fluid collection in the area of biliary-enteric anastomosis; B: Coronal T2-weighted images (at different levels) accurately depict circumscribed sub-hepatic fluid collections with thickened walls. C: Maximum intensity projection reconstruction of Gd-EOB-DTPA enhanced LAVA T1-weighted sequence well exhibits extravasation of contrast material into the peri-anastomotic space compatible with bile leak; D: Coronal Gd-EOB-DTPA enhanced LAVA T1-weighted images better identify contrast agent both extravasating from an anastomotic leak (red arrow) and filling the Roux-en-Y anastomosis (white arrow); E: On axial post-contrast LAVA image it is possible to distinguish the fluid collection (red arrow) from the jejunum (white arrow).