Biliary Drainage Impairment After Liver Transplantation As a Result of Adhesive Small-Bowel Obstruction

With the improvements of surgical techniques, favorable results in orthotopic liver transplantation surgeries have increased in recent years. Biliary complications are common after liver transplantation. We aimed to discuss a case that developed adhesive small bowel obstruction -related jaundice after liver transplantation and underwent adhesiolysis by surgery in the light of the literature. The patient, who underwent right lobe liver transplantation with a living donor 7 years ago due to chronic liver damage by hepatitis B, was examined with sudden onset of abdominal pain and jaundice. It was determined that the current situation was con-nected to the postoperative adhesion and that the adhesion disrupted the biliary drainage and then surgical intervention was performed. It should always be kept in mind that the increase of serum bilirubin levels in patients with liver transplantation may also be caused by any mechanical obstruction in the roux leg of Roux-en Y hepaticojejunostomy.