Okur Mehmet Hanifi, Yankol Yücel, Mecit Nesimi, Hoş Gültekin, Ertugrul Gökhan, Kanmaz Turan, Acarli Koray, Kalayoglu Münci
>From the Department of Biochemistry, Molecular and Cellular Biology, Georgetown University Medical Center, Washington DC 20007, USA.
Exp Clin Transplant. 2018 Jun;16(3):337-339. doi: 10.6002/ect.2015.0242. Epub 2016 Apr 20.
Diaphragmatic hernia is a rare complication after pediatric liver transplant. This report presents occurrences of diaphragmatic hernia after living-donor liver transplants in 2 children.
In 1 of the 2 patients, a right-sided diaphragmatic hernia developed after a living-donor liver transplant due to progressive familial intrahepatic cholestasis where a left lateral segment graft was used. In the other patient, a left-sided diaphragmatic hernia developed after a living-donor liver transplant due to biliary atresia following Kasai portoenterostomy where a left lateral segment graft was used.
After diaphragm repair, the postoperative course was uneventful and there were no recurrences.
A literature review identified nearly 30 cases of diaphragmatic hernia following liver transplants; diaphragmatic hernia should be considered a potential surgical complication after liver transplant.
膈疝是小儿肝移植术后一种罕见的并发症。本报告介绍了2例活体肝移植术后发生膈疝的病例。
2例患者中的1例，因进行性家族性肝内胆汁淤积症接受活体肝移植，采用左外叶肝移植，术后发生右侧膈疝。另一例患者，因Kasai肝门肠吻合术后的胆道闭锁接受活体肝移植，采用左外叶肝移植，术后发生左侧膈疝。
膈肌修复术后，术后过程平稳，无复发。
文献综述发现近30例肝移植术后膈疝病例；膈疝应被视为肝移植术后潜在的手术并发症。
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