Small-bowel herniation under the infrarenal arterial conduit in a liver transplant recipient.
We report a case of herniation of the entire small bowel under an infrarenal conduit 8 months after orthotopic liver transplantation. The conduit was compressed by the mesentery and developed a stricture and thrombosis. Liver revascularization was accomplished by an urgent thrombectomy, resection of the stricture, and reanastomosis of the conduit. Suspicion of this serious complication should arise in transplant recipients who present with bowel obstruction associated with liver dysfunction.
Smyrniotis
V
V
Second Department of Surgery, University of Athens Medical School, Aretaieion Hospital, Athens, Greece. vsmyrniotis@hotmail.com
Arkadopoulos
N
N
Kostopanagiotou
G
G
Manesis
M
M
D000293:Adolescent; D006547:Hernia / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery / Q000637:transplantation; D007410:Intestinal Diseases / Q000209:etiology*; D007421:Intestine, Small; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D012086:Reoperation; D017131:Thrombectomy; D013927:Thrombosis / Q000209:etiology / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000009:adverse effects*