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. 1998;11(4):301-4.
doi: 10.1007/s001470050146.

Bowel perforation after paediatric orthotopic liver transplantation

H Vilca Melendez  1 , V Vougas, P Muiesan, P Andreani, G Mieli-Vergani, M Rela, N D Heaton
Affiliations

Bowel perforation after paediatric orthotopic liver transplantation

H Vilca Melendez et al. Transpl Int. 1998.

Abstract

Bowel perforation is a well-recognized complication following orthotopic liver transplantation. Of 194 paediatric liver transplantations performed in our hospital, 13 patients (6.7%) developed bowel perforation post-transplantation. Contributory factors included previous operation, steroid therapy and viral infection. The incidence was higher in children who underwent transplantation for biliary atresia after a previous Kasai portoenterostomy. Seven patients (53% of this group) reperforated. Diagnosis may be difficult and a high index of suspicion is needed.

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