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. 2013:2013:923647.
doi: 10.1155/2013/923647. Epub 2013 Sep 12.

Internal hernia in a liver transplant recipien: a case report

Hironori Hayashi  1 , Hiroyuki Takamura, Yoshinao Ohbatake, Masatoshi Shoji, Shin-Ichi Nakanuma, Hisatoshi Nakagawara, Tomoharu Miyashita, Hidehiro Tajima, Hirohisa Kitagawa, Takashi Tani, Koichi Shimizu, Tetsuo Ohta
Affiliations

Internal hernia in a liver transplant recipien: a case report

Hironori Hayashi et al. Case Rep Surg. 2013.

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.

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Figures

Figure 1
Figure 1
Abdominal computed tomography before surgery. Computed tomography demonstrated internal hernia of the small intestine (arrow: small intestine through the hernia orifice).
Figure 2
Figure 2
Photograph of operative findings. Internal hernia was evident through the rent of the mesentery around the Roux-en-Y limb of the hepaticojejunostomy (arrow: small intestine through the hernia orifice).
See this image and copyright information in PMC

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References

    1. Kiuchi T, Uemoto S, Egawa H, et al. Living donor liver transplantation in Kyoto, 2001. Clinical Transplants. 2001;15:195–201. - PubMed
    1. Marcos A, Ham JM, Fisher RA, Olzinski AT, Posner MP. Single-center analysis of the first 40 adult-to-adult living donor liver transplants using the right lobe. Liver Transplantation. 2000;6(3):296–301. - PubMed
    1. Akamatsu N, Sugawara Y, Hashimoto D. Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation: a systematic review of the incidence, risk factors and outcome. Transplant International. 2011;24(4):379–392. - PubMed
    1. Wang SF, Huang ZY, Chen XP. Biliary complications after living donor liver transplantation. Liver Transplantation. 2011;17(10):1127–1136. - PubMed
    1. Krok KL, Cardenas A, Thuluvath PJ. Endoscopic management of biliary complications after liver transplantation. Clinics in Liver Disease. 2010;14(2):359–371. - PubMed

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