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

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 fi...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2010-10, Vol.14 (5), p.547-549
Main Authors: Perwaiz, A., Mehta, N., Mohanka, R., Kumaran, V., Nundy, S., Soin, A. S.
Format: Article
Language:English
Subjects:
Abdominal Pain - diagnostic imaging
Abdominal Pain - etiology
Abdominal Pain - surgery
Abdominal Surgery
Adult
Case Report
Diagnosis, Differential
Follow-Up Studies
Hernia, Diaphragmatic - complications
Hernia, Diaphragmatic - diagnosis
Hernia, Diaphragmatic - surgery
Humans
Laparotomy - methods
Liver Transplantation - adverse effects
Living Donors
Male
Medicine
Medicine & Public Health
Pain, Postoperative - diagnosis
Pain, Postoperative - etiology
Pain, Postoperative - surgery
Recurrence
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color
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Summary: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.
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-009-0594-y