AI Article Synopsis
- The report discusses three cases of diaphragmatic hernia (DH) in infants after liver transplantation (LT) using a left-sided graft.
- All patients were under one year old and had severe liver conditions, experiencing DH onset suddenly within three months post-surgery.
- A review of additional cases revealed that factors such as using a left-sided graft and the patient's young age are linked to a higher risk of developing DH after LT.
Article Abstract
DH is a rare complication following LT. This report presents three cases of right-sided DH after LT using a left-sided graft. All of the patients were younger than one yr of age, and they were critically ill owing to their original disease, characterized by biliary atresia, progressive familiar intrahepatic cholestasis, and acute liver failure. DH occurred with sudden onset within three months after LT. All of the cases were promptly diagnosed and treated. A literature review of 24 cases of DH identified four factors associated with DH: left-sided graft, right-sided DH, relatively delayed onset of DH, and age-specific chief complaint. DH following LT should be considered as a potential surgical complication when a left-sided graft is used, especially in small infants with coagulopathy and malnutrition.
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| http://dx.doi.org/10.1111/j.1399-3046.2012.01722.x | DOI Listing |
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