Acquired diaphragmatic hernia in pediatrics after living donor liver transplantation
10.3760/cma.j.issn.1007-631X.2018.12.016
- VernacularTitle:儿童亲体肝移植术后膈疝的诊断与治疗
- Author:
Kai WANG
1
;
Wei GAO
;
Nan MA
;
Xingchu MENG
;
Wei ZHANG
;
Chao SUN
;
Chong DONG
;
Bin WU
;
Hong QIN
Author Information
1. 300192,天津市第一中心医院移植外科天津市器官移植重点实验室天津市器官移植临床医学研究中心
- Keywords:
Hernia,diaphragmatic;
Living donors;
Liver transplantation
- From:
Chinese Journal of General Surgery
2018;33(12):1038-1041
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnosis and treatment of diaphragmatic hernia (DH)secondary to living donor liver transplantation (LDLT) in pediatrics.Methods The primary disease was biliary atresia and all of the 4 patients underwent LDLT using a donor's left lateral graft.The ages of recipients were 5-7 months at LDLT and the onset of DH were 1.5-16 months after LDLT.There were 3 right DH and 1 left DH,and 3 were emergency cases.Results The graft weight and graft to recipient body weight ratio (GRWR) were respectively between 170-290 g and between 2.7％-5.0％.Clinical symptoms included urgent respiratory distress,dyspepsia or gastrointestinal obstruction.DH was diagnosed by computed tomography scan or X-ray of the chest.Laparotomy were performed successfully to repair the DH including emergency laparotomy in three patients.Herniated organs were partial intestines or colon and partial stomach.All cases recovered without major complications.Conclusions DH post-LDLT is an unusual complication,often calls for emergent management.
