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 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.
Perwaiz
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A
Department of Surgical Gastroenterology and Liver Transplant, Sir Ganga Ram Hospital, New Delhi, India. azharsgrh@gmail.com
Mehta
N
N
Mohanka
R
R
Kumaran
V
V
Nundy
S
S
Soin
A S
AS
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007813:Laparotomy / Q000379:methods; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008297:Male; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color