{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:41:52Z","timestamp":1753879312092,"version":"3.41.2"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T00:00:00Z","timestamp":1587600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This case report describes an 8\u2010year\u2010old girl who underwent a segmental LT for a primary diagnosis of citrullinemia at the age of 12\u00a0months. She presented with cholangitis secondary to stenosis of the biliary\u2010enteric anastomosis. MRI revealed dilatation of intrahepatic bile ducts associated with multiple stones. An endoscopic approach failed to decompress the bile ducts and remove the stones. A percutaneous approach was then undertaken. After placement of a temporary external biliary drain for 12\u00a0days, a 26 French sheath was placed to access the bile ducts. Using a 14Fr flexible cystoscope, 80%\u201090% of the biliary stones were removed. This was followed by antegrade balloon dilatation of the biliary\u2010enteric anastomosis. Two months later, the procedure was repeated, resulting in complete clearance of the biliary stones. An internal\u2010external biliary drain was maintained in placed for 10\u00a0months. The patient has been asymptomatic, with no evidence of stone recurrence for 13\u00a0months after drain removal. Percutaneous biliary stone removal is commonly performed in adults with non\u2010transplanted livers, especially in complex cases, and has also been shown to be successful in the pediatric population. However, it is rarely reported in transplanted livers in adults, and to the best of our knowledge, no pediatric cases have been reported. This case illustrates that this technique can be successfully utilized in pediatric LT patients.<\/jats:p>","DOI":"10.1111\/petr.13715","type":"journal-article","created":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T13:15:40Z","timestamp":1587647740000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous removal of biliary stones post\u2010liver transplant in a pediatric patient: Case report and review of the literature"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8425-0036","authenticated-orcid":false,"given":"Taryn J.","family":"Rohringer","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Toronto Toronto ON Canada"},{"name":"Division of Image Guided Therapy Diagnostic Imaging Department Hospital for Sick Children Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8012-493X","authenticated-orcid":false,"given":"Jessica H.","family":"Hannick","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology UH Rainbow Babies and Children\u2019s Hospital Cleveland OH USA"},{"name":"Division of Urology Hospital for Sick Children Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6735-9462","authenticated-orcid":false,"given":"Armando","family":"Lorenzo","sequence":"additional","affiliation":[{"name":"Division of Urology Hospital for Sick Children Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8072-5727","authenticated-orcid":false,"given":"Yaron","family":"Avitzur","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology and Nutrition Hospital for Sick Children Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Temple","sequence":"additional","affiliation":[{"name":"Division of Image Guided Therapy Diagnostic Imaging Department Hospital for Sick Children Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0214-3382","authenticated-orcid":false,"given":"Dimitri A.","family":"Parra","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Toronto Toronto ON Canada"},{"name":"Division of Image Guided Therapy Diagnostic Imaging Department Hospital for Sick Children Toronto ON 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