Open AccessAcquired diaphragmatic hernia in pediatrics after living donor liver transplantation
Author(s) -
Kai Wang,
Wei Gao,
Nan Ma,
Xiangjun Meng,
Wei Zhang,
Changku Sun,
Chong Dong,
Bin Wu
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000010346
Subject(s) - medicine , biliary atresia , asymptomatic , surgery , liver transplantation , laparotomy , etiology , diaphragmatic hernia , diaphragmatic breathing , complication , pediatrics , hernia , transplantation , alternative medicine , pathology
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.