Unusual case of abdominal pain following liver transplant: causality or casualty?
This is an unusual case of chronic abdominal pain following two liver transplants with at least three potential causes: traumatic neuroma, intussusception of the small bowel of the Roux loop and biliary cast. Surgical removal of the latter two factors led to resolution of the pain. The management of the clinical case is discussed.
Addenbrooke's Hospital, UK.
F
F
Ausania
S
S
Sen
S E
SE
Davies
A E
AE
Gimson
P
P
Gibbs
D015746:Abdominal Pain / Q000209:etiology*; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D001646:Bile; D001656:Biliary Atresia / Q000150:complications; D002768:Choledochostomy / Q000009:adverse effects* / Q000379:methods; D002779:Cholestasis / Q000209:etiology; D002908:Chronic Disease; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006084:Graft Rejection / Q000601:surgery; D006801:Humans; D007443:Intussusception / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017093:Liver Failure / Q000209:etiology / Q000601:surgery; D016031:Liver Transplantation; D009463:Neuroma / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology*; D012086:Reoperation; D055815:Young Adult