case_images: PMC10949928_01
case_images: Biliary reconstruction on magnetic resonance cholangiopancreatography demonstrating stenosis of a hepaticojejunostomy.
case_images: 0102-6720-abcd-37-e1795-gf1.jpg
case_images: PMC10949928_01_0102-6720-abcd-37-e1795-gf1.jpg
case_images: f1
case_images: Magnetic resonance confirmed intrahepatic biliary dilation and showed stenosis of the previous hepaticojejunostomy (Figures 1 and 2).
case_images: Magnetic Resonance demonstrating situs inversus totalis (dextrocardia, stomach in the right, liver in the left).
case_images: 0102-6720-abcd-37-e1795-gf2.jpg
case_images: PMC10949928_01_0102-6720-abcd-37-e1795-gf2.jpg
case_images: f2
case_images: Magnetic resonance confirmed intrahepatic biliary dilation and showed stenosis of the previous hepaticojejunostomy (Figures 1 and 2).
case_images: Intraoperative view of Hepp-Couinaud technique. Wide anastomosis performed in the hilar plate side-to-side with interrupted 5-0 polydioxanone.
case_images: 0102-6720-abcd-37-e1795-gf3.jpg
case_images: PMC10949928_01_0102-6720-abcd-37-e1795-gf3.jpg
case_images: f3
case_images: The previous stenotic hepaticojejunostomy was undone and remade with the Hepp-Couinaud technique high in the hilar plate with a wide opening in the hepatic confluence towards the left hepatic duct (Figure 3).