Right-sided Diaphragmatic Hernia in Infants After Liver Transplantation

2006 ◽  
Vol 2006 ◽  
pp. 146-147
Author(s):  
A.E. Oestreich
Keyword(s):  
Liver Transplantation ◽  
Diaphragmatic Hernia

Right-sided diaphragmatic hernia after orthotopic liver transplantation: Report of two cases

2009 ◽  
Vol 14 (5) ◽  
pp. e62-e64 ◽  
Author(s):  
M. Kazimi ◽  
C. İbis ◽  
I. Alper ◽  
M. Ulas ◽  
M. Baran ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Orthotopic Liver Transplantation ◽  
Diaphragmatic Hernia

scholarly journals Acquired diaphragmatic hernia in pediatrics after living donor liver transplantation

Medicine ◽  
2018 ◽  
Vol 97 (15) ◽  
pp. e0346 ◽  
Author(s):  
Kai Wang ◽  
Wei Gao ◽  
Nan Ma ◽  
Xing-Chu Meng ◽  
Wei Zhang ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Diaphragmatic Hernia ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Donor Liver ◽  
Donor Liver Transplantation

scholarly journals Successful Surgical Repair of Left-Sided Diaphragmatic Hernia after Adult Orthotopic Liver Transplantation: Case Report

2021 ◽  
pp. 1-3
Author(s):  
Merab Kiladze ◽  
◽  
Murat Kilic ◽  
Keyword(s):  
Liver Transplantation ◽  
Orthotopic Liver Transplantation ◽  
Diaphragmatic Hernia ◽  
Correct Diagnosis ◽  
Abdominal Approach ◽  
Long Term Follow Up ◽  
Life Threatening ◽  
Diaphragmatic Herniation

Postoperative delayed diaphragmatic hernia (DH) is a rare and uncommon event after adult orthotopic liver transplantation (OLT), which however could be potentially life-threatening complication, especially in the absence of early and correct diagnosis and appropriate surgical treatment. We present a case of 48 year-old male with left diaphragmatic herniation of left part of transverse colon, who thirty nine months before underwent OLT with right-sided allograft implantation and which was recently successfully managed by open abdominal approach in our institution. The postoperative course was uneventful and he was discharged at the 8th day after surgery. Our case illustrates, that delayed DH after the OLT in adults could be a new problem, which affect transplant recipients with long-term follow-up period. Hence, we consider, that once the diagnosis of DH is confirmed, the patient should be operated immediately, in order to avoid the possible life-threatening complications.

Acquired right diaphragmatic hernia following pediatric living donor orthotopic liver transplantation

2015 ◽  
Vol 19 (6) ◽  
pp. E149-E151 ◽  
Author(s):  
Zafer Dökümcü ◽  
Emre Divarcı ◽  
Ata Erdener ◽  
Murat Sözbilen ◽  
Orkan Ergün
Keyword(s):  
Liver Transplantation ◽  
Orthotopic Liver Transplantation ◽  
Diaphragmatic Hernia ◽  
Living Donor ◽  
Right Diaphragmatic Hernia

Right-sided diaphragmatic hernia in infants after liver transplantation

2005 ◽  
Vol 40 (7) ◽  
pp. 1181-1184 ◽  
Author(s):  
Amanda J. McCabe ◽  
John D. Orr ◽  
Khalid Sharif ◽  
Jean de Ville de Goyet
Keyword(s):  
Liver Transplantation ◽  
Diaphragmatic Hernia

scholarly journals A220 AN UNEXPECTED CAUSE OF ACUTE JAUNDICE IN A POST-TRANSPLANT PATIENT

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 253-254
Author(s):  
K W Wong ◽  
J Silverman
Keyword(s):  
Liver Transplantation ◽  
Abdominal Pain ◽  
Liver Transplant ◽  
Diaphragmatic Hernia ◽  
Biliary Obstruction ◽  
Transplant Patient ◽  
Hepatic Duct ◽  
Liver Transplant Patient ◽  
Unique Case ◽  
Post Transplant

Abstract Background Complications post liver transplantation are common. These may include thromboses, primary graft nonfunction, biliary complications, chylothorax, infection, and rejection. Hepaticojejunostomy with Roux-en-Y limb is a common technique for pediatric liver transplantation. Complications of hepaticojejunostomy include small bowel obstruction due to incarceration of the Roux-en-Y limb within an internal hernia. Acquired diaphragmatic hernia has previously been reported in liver transplant patients. Here we present a unique case of acute biliary obstruction secondary to incarceration of a Roux limb within an acquired diaphragmatic hernia. Aims To describe a unique case of incarcerated Roux-en-Y limb in a diaphragmatic hernia leading to acute jaundice in a pediatric liver transplant patient. Methods Retrospective chart review and case review with the surgical and medical teams. Results A 14 month old girl with unresectable hepatoblastoma received a living donor, left lateral segment liver transplant using standard venous reconstruction, microvascular plastics arterial reconstruction, and the recipient common hepatic duct was anastomosed to the donor left hepatic duct. Serial ultrasounds showed persistent intrahepatic duct dilatation with cholestasis. Given the concern of biliary obstruction, 10 days post-transplant, she underwent repeat laparotomy and was found to have a dilated common bile duct with a proximal obstruction. A Roux-en-Y hepaticojejunostomy was performed to establish adequate biliary drainage. Three months post-transplant she developed lung metastases that required wedge resection and chemotherapy. 7 months post-transplant, while admitted for routine chemotherapy she acutely developed jaundice, pruritus, and transaminitis. Liver ultrasound showed an apparent fluid collection at the cut surface of the liver and biliary dilatation. Extrinsic compression of the biliary tree was suspected, and so a percutaneous biliary drain was placed to drain the collection and decompress the biliary system. Despite improvement in the transaminitis and cholestasis, several days later, she developed severe abdominal pain and associated grunting respirations. An MRI with MRCP to reassess the previous findings and rule out a new intraabdominal cause for her symptoms was completed and unexpectedly showed herniation of her Roux-en-Y limb into a diaphragmatic hernia. She had urgent diaphragmatic hernia repair with reduction of the incarcerated bowel loop, with resolution of her pain and jaundice. Conclusions Post liver transplant Roux-en-Y herniation is uncommon, but can occur with internal hernias and in diaphragmatic hernias. This uncommon complication should be considered for the post liver transplant patient with hepaticojejunostomy in the setting of acute jaundice, particularly if accompanied by acute onset abdominal pain and/or increased work of breathing. Funding Agencies None

Sign in / Sign up

Export Citation Format

Share Document