title: Internal hernia in a liver transplant recipien: a case report.
abstract: Biliary complications have great importance for liver transplant recipients because of affecting long-term prognosis. In rare situations, an internal hernia of the Roux-en-Y loop cause graft injury. A 42-year-old woman with a history of living donor liver transplantation 6 years ago presented with prolonged graft injury during the past 6 months. She suddenly developed ileus of the small bowel with internal hernia through the defect of the mesentery around the Roux-en-Y limb of the hepaticojejunostomy. Emergent surgery was performed to reduce the hernia and volvulus; also the mesenteric rent was closed with interrupted suture of silk. Internal hernia of the small bowel after liver transplantation is rare but causes graft injury due to associated biliary complications and rapid deterioration of patient's condition.
authors.affiliation: Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan.
authors.forename: Hironori
authors.initials: H
authors.lastname: Hayashi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Takamura
authors.forename: Yoshinao
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authors.lastname: Ohbatake
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Shoji
authors.forename: Shin-Ichi
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authors.lastname: Nakanuma
authors.forename: Hisatoshi
authors.initials: H
authors.lastname: Nakagawara
authors.forename: Tomoharu
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authors.lastname: Miyashita
authors.forename: Hidehiro
authors.initials: H
authors.lastname: Tajima
authors.forename: Hirohisa
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authors.lastname: Kitagawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Tani
authors.forename: Koichi
authors.initials: K
authors.lastname: Shimizu
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ohta