Successful treatment of isolated draining intrahepatic biliary ducts in a pediatric liver transplant recipient using alcohol sclerotherapy.

Alcohol sclerotherapy is useful for the treatment of biliary cutaneous fistulas in patients who have undergone hepatic resection. The same principle can be applied for transplant recipients with isolated draining biliary ducts. Percutaneous therapy of isolated draining biliary ducts with absolute alcohol (ie, 100% ethanol) was successfully performed in a 7-year-old patient who had undergone orthotopic liver transplantation. The increasing use of segmental living and split cadaveric liver grafts, with the subsequent increase risk in biliary complications, necessitates more efficient therapy for isolated draining bile ducts.