title: Incarcerated diaphragmatic hernia after right hepatectomy for living donor liver transplantation: case report of an extremely rare late donor complication.
abstract: Living donor liver transplantation has evolved to an indispensable surgical strategy to minimize the mortality of adult and pediatric patients awaiting transplantation. The crucial prerequisite to performing this procedure is a minimal risk of donor morbidity and mortality. A 46-year-old woman underwent right hepatectomy for living donor liver transplantation. Two and a half years after liver donation, she presented with upper abdominal pain and fullness. Radiographic evaluation revealed an incarcerated diaphragmatic hernia of the right hemithorax. After emergency laparotomy and evaluation of the right hemithorax, a partial jejunal resection was performed due to ischemic findings. The diaphragmatic hernia was repaired. Diaphragmatic hernia is a rarely reported complication of right donor hepatectomy for transplantation and should be considered to be a potential late complication.
authors.affiliation: Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany. svernadakis@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Vernadakis
authors.forename: A
authors.initials: A
authors.lastname: Paul
authors.forename: S
authors.initials: S
authors.lastname: Kykalos
authors.forename: I
authors.initials: I
authors.lastname: Fouzas
authors.forename: G M
authors.initials: GM
authors.lastname: Kaiser
authors.forename: G C
authors.initials: GC
authors.lastname: Sotiropoulos
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D004630:Emergencies; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008875:Middle Aged; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome