Right-sided diaphragmatic hernia in an adult after living donor liver transplant: a rare cause of post-transplant recurrent abdominal pain

被引:14
作者
Perwaiz, A. [1 ]
Mehta, N. [1 ]
Mohanka, R. [1 ]
Kumaran, V. [1 ]
Nundy, S. [1 ]
Soin, A. S. [1 ]
机构
[1] Sir Ganga Ram Hosp, Dept Surg Gastroenterol & Liver Transplant, New Delhi 110060, India
关键词
Right-sided diaphragmatic hernia; Acquired diaphragmatic hernia; Postoperative diaphragmatic hernia; Liver transplantation; RADIOFREQUENCY ABLATION; INJURIES;
D O I
10.1007/s10029-009-0594-y
中图分类号
R61 [外科手术学];
学科分类号
摘要
Right-sided diaphragmatic hernia (DH) after living donor liver transplant in adult recipients has not been described previously. There have been a few reports of right-side DH in paediatric living donor liver transplant recipients and following right lobe donor hepatectomy. We herein describe the first instance of right-sided DH in a 44-year-old man who underwent left lobe live donor liver transplant. Twenty-eight months later, he presented with recurrent right upper abdominal pain. Radiographic workup revealed a right-sided DH. He underwent laparotomy and primary repair of the diaphragmatic defect. Seven months after the repair, the patient remains well and free from symptoms, with a normal chest X-ray. Right-sided DH is rare but may occur after living donor liver transplant. Successful outcome can be achieved by an early diagnosis and prompt management.
引用
收藏
页码:547 / 549
页数:3
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