Biliary-hepatic vein fistula in a living donor liver candida
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A 50-year-old woman with no significant past medical or surgical history presented to the clinic for living donor liver evaluation. As part of our institutional protocol, she received standard blood tests and magnetic resonance imaging. In addition, an ultrasound-guided biopsy was performed due to her age to rule out any associated pathology. The biopsy was performed with an 18-gauge Biopense needle to obtain a core sample of the liver, with one pass, and no complications were noted following the procedure. No histopathologic diagnosis was found on the liver biopsy. Imaging demonstrated a noncirrhotic liver, conventional hepatic arterial anatomy, trifurcation of intrahepatic bile ducts, fat quantification of 4.2% to 4.7%, and an adequate liver volume. She was deemed an appropriate living donor candidate and underwent an exploratory laparotomy, cholecystectomy, and intraoperative cholangiogram.

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