case_images: PMC6758928_01
case_images: Computed tomography images at the level of splenic hilum before (A) and after (B) portal vein embolization showing hypertrophy of segment 3.
case_images: fsurg-06-00054-g0001.jpg
case_images: PMC6758928_01_fsurg-06-00054-g0001.jpg
case_images: F1
case_images: After 25 days the FLR enlarged to 50% of the liver volume with a volume gain of 104% and kinetic growth rate of 5.8% per week (Figure 1).
case_images: Endoscopic retrograde cholangiopancreatography (ERCP):the left biliary tree (arrow) is cannulated (A) which is well-demonstrated with contrast (B) including the extravasation at the hilum (arrowhead). The percutaneously placed pigtail drain is also seen.
case_images: fsurg-06-00054-g0002.jpg
case_images: PMC6758928_01_fsurg-06-00054-g0002.jpg
case_images: F2
case_images: An endoscopic retrograde cholangiopancreatography (ERCP) and a plastic stent were placed in the left hepatic duct, however, the bile leak persisted (Figure 2).
case_images: Intraoperative photograph showing the stent protruding into the peritoneal cavity (arrow) from the hepatic duct confluence.
case_images: fsurg-06-00054-g0003.jpg
case_images: PMC6758928_01_fsurg-06-00054-g0003.jpg
case_images: F3
case_images: On exploration, the stent was found protruding into the peritoneal cavity at the hepatic duct confluence (Figure 3).
case_images: Fluoroscopy image showing completed hepaticojejunostomy with internoexternal stent with contrast in the jejunal limb (arrow).
case_images: fsurg-06-00054-g0004.jpg
case_images: PMC6758928_01_fsurg-06-00054-g0004.jpg
case_images: F4
case_images: After successful cannulation of the biliary system, an interno-external stent was placed across the anastomosis (Figure 4).