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Internal hernia and volvulus of the small bowel following liver transplantation.

Khanna, A and Newman, B and Reyes, J and Fung, JJ and Todo, S and Starzl, TE (1997) Internal hernia and volvulus of the small bowel following liver transplantation. Transpl Int, 10 (2). 133 - 136. ISSN 0934-0874

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Abstract

Internal herniation with volvulus of the small intestine is an uncommon, but potentially fatal, complication after liver transplantation. We present here four cases in which the herniation occurred around the Roux-en-Y loop used for the biliary reconstruction. One patient died due to intestinal and liver allograft necrosis; another lost almost the entire small intestine and has since undergone successful intestinal transplantation. Two patients survived following surgery that involved reduction of the hernia and closure of the mesenteric defect. Clinical diagnostic implications emphasize early diagnosis and appropriate operative intervention.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Khanna, A
Newman, B
Reyes, J
Fung, JJ
Todo, S
Starzl, TEtes11@pitt.eduTES11
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 1997
Date Type: Publication
Journal or Publication Title: Transpl Int
Volume: 10
Number: 2
Page Range: 133 - 136
Institution: University of Pittsburgh
Refereed: Yes
Uncontrolled Keywords: Adolescent, Adult, Anastomosis, Roux-en-Y, Child, Fatal Outcome, Female, Hernia, Ventral, Humans, Intestinal Obstruction, Jejunum, Liver Transplantation, Necrosis, Postoperative Complications, Tomography, X-Ray Computed
ISSN: 0934-0874
Funders: NIDDK NIH HHS (R01 DK029961-19)
Other ID: uls-drl:31735062126952, Starzl CV No. 1973
Date Deposited: 08 Apr 2010 17:33
Last Modified: 13 Oct 2017 23:56
URI: http://d-scholarship.pitt.edu/id/eprint/5359

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