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. Key words: Hernia, diaphragmatic; Living donors; Liver transplantation
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
