title: Late post liver transplant protein losing enteropathy: rare complication of incisional hernia.
abstract: Development of oedema and hypoproteinaemia in a liver transplant recipient may be the first signs of graft dysfunction and should prompt a full assessment. We report the novel case of a patient who, years after liver transplantation developed a functional blind loop in an incisional hernia, which manifested as oedema and hypoproteinaemia secondary to protein losing enteropathy. After numerous investigations, the diagnosis was made by flurodeoxyglucose positron emmision tomography (FDG-PET) imaging. Surgical repair of the incisional hernia was followed several months later by resolution of the protein loss, and confirmed at a post operative FDG-PET scan at one year.
authors.affiliation: The Liver Unit, The Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, United Kingdom.
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Evans
authors.forename: M Thamara Pr
authors.initials: MT
authors.lastname: Perera
authors.forename: Cy
authors.initials: C
authors.lastname: Pal
authors.forename: James
authors.initials: J
authors.lastname: Neuberger
authors.forename: Darius F
authors.initials: DF
authors.lastname: Mirza
mesh_terms: D004487:Edema / Q000209:etiology; D005260:Female; D019788:Fluorodeoxyglucose F18; D046449:Hernia, Abdominal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007019:Hypoproteinemia / Q000209:etiology; D008103:Liver Cirrhosis / Q000150:complications / Q000601:surgery / Q000628:therapy; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D049268:Positron-Emission Tomography; D011183:Postoperative Complications; D011504:Protein-Losing Enteropathies / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D019788:Fluorodeoxyglucose F18
keywords: Bacterial overgrowth; Hypoproteinaemia; Incarcerated hernia; Liver transplantation.; Protein losing enteropathies