There are no reports of cystic liver
infection after
liver transplantation. Herein, we report a rare case of cystic liver graft
infection after living donor
liver transplantation (LDLT). The patient was a 24-year-old man with
primary sclerosing cholangitis who underwent right lobe graft LDLT. Preoperative abdominal computed tomography (CT) revealed a liver
cyst at segment 8 of the donor liver. Biliary reconstruction was performed with hepaticojejunostomy. The postoperative course was uneventful until the patient developed a high
fever and
abdominal pain 15 months after LDLT. Abdominal contrast CT revealed
abscess formation. Percutaneous drainage of the
cyst was performed and purulent liquid was drained. The
fever gradually subsided
after treatment. On follow-up CT, the size of the infected liver
cyst was decreased. Clinicians should be aware of the potential for cystic liver
infection when using grafts with liver
cysts, particularly when biliary reconstruction is performed with hepaticojejunostomy.