Low G, Jaremko J L, Lomas D J
Department of Radiology & Diagnostic Imaging, University of Alberta Hospital, Edmonton, Alberta, Canada; Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, England, UK.
Department of Radiology & Diagnostic Imaging, University of Alberta Hospital, Edmonton, Alberta, Canada.
Clin Radiol. 2015 Aug;70(8):898-908. doi: 10.1016/j.crad.2015.04.001. Epub 2015 May 12.
A variety of transplants have been performed in the abdomen including liver, kidney, pancreas and islet, bowel, and multivisceral transplants. Imaging plays an important role in graft surveillance particularly to exclude post-transplant complications. When complications occur, therapeutic image-guided interventions are invaluable as these may be graft-saving and even life-saving. Vascular complications following transplantation have been extensively reported in recent reviews. The focus of this review is to discuss post-transplant complications that are primarily extravascular in location. This includes biliary, urological, intestinal, malignancy, infections, and miscellaneous complications. Familiarity with the imaging appearances of these complications is helpful for radiologists as accurate diagnosis and expedient treatment has an impact on graft and patient survival.
多种移植手术已在腹部进行，包括肝脏、肾脏、胰腺和胰岛、肠道以及多脏器移植。影像学在移植物监测中发挥着重要作用，尤其是用于排除移植后并发症。当出现并发症时，治疗性影像引导介入措施非常宝贵，因为这些措施可能挽救移植物甚至挽救生命。近期综述中已广泛报道了移植后的血管并发症。本综述的重点是讨论主要位于血管外的移植后并发症。这包括胆道、泌尿系统、肠道、恶性肿瘤、感染及其他并发症。熟悉这些并发症的影像学表现对放射科医生很有帮助，因为准确诊断和及时治疗对移植物和患者的存活有影响。
