Abstract
Received September 23, 2010; accepted without revision September 23, 2010. 1Department of Radiology, University of Washington, VA Puget Sound Health Care System, 1660 S Columbian Way, S-114/Radiology, Mail Stop 358280, Seattle, WA 98108. Address correspondence to P. Bhargava (bhargp@u.washington.edu). 2Department of Radiology, University of Washington, Seattle, WA. 3Department of Surgery, University of Washington, Seattle, WA. AJR 2011;196:WS15–WS25 0361–803X/11/1963–S1 © American Roentgen Ray Society Objective Orthotopic liver transplantation is an established treatment for patients with end-stage liver disease or acute liver failure. Complications of liver transplantation include vascular thrombosis and stenosis; arterial pseudoaneurysm; biliary leak, stricture, and obstruction; liver ischemia, infarction, and abscess; recurrent disease; posttransplantation lymphoproliferative disease (PTLD); recurrent tumors; peritransplant fluid collections and hematomas; and splenic infarction. The incidence of graft rejection and other complications experienced in the early years after the surgery has been reduced significantly because of advances in immunosuppression and surgical techniques. The clinical presentation of these complications is often nonspecific, and early detection of these complications on imaging is necessary for appropriate management. Living related liver transplantations are performed commonly, especially in children. Orthotopic liver transplantation is distinct from living related liver transplantation with regard to surgical technique, postoperative anatomy, and some complications. This article reviews the imaging appearances of different surgical techniques as well as the early and late complications of orthotopic liver transplantation.
Published Version
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