A patient suffering from Liver Cirrhosis was treated by liver transplantation using Total Cadaveric Graft. Biliary reconstruction was done by end-to-end choledocho-choledochostomy without T-Tube. The patient was asymptomatic with very good liver function during eighteen months and after bilirrubin, GPT, GOT and Alkalin Phosphatase increased. U.S. demonstrated severe dilatation of the intrahepatic branches. MRI shown obstruction of the duct-to-duct biliary anastomosis with intrahepatic severe lithiasis from the biliary confluence to the intrahepatic branches. The patient was reoperated. Severe dilatation of the donor common duct was shown stenosis of the anastomosis confirmed. Resection of the anastomosis was done. All the multiple "very peculiar" stones were removed. Reconstruction of the biliary tract was performed by means of the large hepatico-jejunostomy, end-to-side, one layer of interrupted stitches using absorbable monofilament 5/0. The follow-up of the patient is included.