Medicine · 2018
Acquired diaphragmatic hernia in pediatrics after living donor liver transplantation: Three cases report and review of literature.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Wang Kai, Gao Wei, Ma Nan, Meng Xing-Chu, Zhang Wei, Sun Chao, Dong Chong, Wu Bin
Аннотация
RATIONALE: Diaphragmatic hernia (DH) in pediatrics following living donor liver transplantation (LDLT) has been seldom reported in the past.
PATIENT CONCERNS: We report successful diagnosis and treatment of three pediatric cases with DH secondary to LDLT, discuss the possible etiology, and review the relevant literature.
DIAGNOSES: The primary disease was biliary atresia and DH was diagnosed by computed tomography scan or x-ray of chest.
INTERVENTIONS: Laparotomy was performed successfully to repair the DH.
OUTCOMES: The respiratory and digestive function was gradually recovered in 1 to 2 weeks after repair operation. In 2 to 8 months follow-up, patients were asymptomatic without any respiratory or digestive complications.
LESSONS: DH post-LDLT should be recognized as a possible complication when a left lateral segment graft is used. Careful clinical examination and prompt surgery could minimize complications.
PATIENT CONCERNS: We report successful diagnosis and treatment of three pediatric cases with DH secondary to LDLT, discuss the possible etiology, and review the relevant literature.
DIAGNOSES: The primary disease was biliary atresia and DH was diagnosed by computed tomography scan or x-ray of chest.
INTERVENTIONS: Laparotomy was performed successfully to repair the DH.
OUTCOMES: The respiratory and digestive function was gradually recovered in 1 to 2 weeks after repair operation. In 2 to 8 months follow-up, patients were asymptomatic without any respiratory or digestive complications.
LESSONS: DH post-LDLT should be recognized as a possible complication when a left lateral segment graft is used. Careful clinical examination and prompt surgery could minimize complications.