Incarcerated Diaphragmatic Hernia After Right Hepatectomy for Living Donor Liver Transplantation: Case Report of an Extremely Rare Late Donor Complication

Abstract Living donor liver transplantation has evolved to an indispensable surgical strategy to minimize the mortality of adult and pediatric patients awaiting transplantation. The crucial prerequisite to performing this procedure is a minimal risk of donor morbidity and mortality. A 46-year-old wo...

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Bibliographic Details
Published in:Transplantation proceedings 2012-11, Vol.44 (9), p.2770-2772
Main Authors: Vernadakis, S, Paul, A, Kykalos, S, Fouzas, I, Kaiser, G.M, Sotiropoulos, G.C
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Biological and medical sciences
Emergencies
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Hepatectomy - adverse effects
Hernia, Diaphragmatic - diagnostic imaging
Hernia, Diaphragmatic - etiology
Hernia, Diaphragmatic - surgery
Herniorrhaphy
Humans
Liver Transplantation - adverse effects
Liver, biliary tract, pancreas, portal circulation, spleen
Living Donors
Medical sciences
Middle Aged
Reoperation
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Time Factors
Tissue, organ and graft immunology
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Abstract Living donor liver transplantation has evolved to an indispensable surgical strategy to minimize the mortality of adult and pediatric patients awaiting transplantation. The crucial prerequisite to performing this procedure is a minimal risk of donor morbidity and mortality. A 46-year-old woman underwent right hepatectomy for living donor liver transplantation. Two and a half years after liver donation, she presented with upper abdominal pain and fullness. Radiographic evaluation revealed an incarcerated diaphragmatic hernia of the right hemithorax. After emergency laparotomy and evaluation of the right hemithorax, a partial jejunal resection was performed due to ischemic findings. The diaphragmatic hernia was repaired. Diaphragmatic hernia is a rarely reported complication of right donor hepatectomy for transplantation and should be considered to be a potential late complication.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2012.09.014