Acquired diaphragmatic hernia in pediatrics after living donor liver transplantation: Three cases report and review of literature.

RATIONALE

Diaphragmatic hernia (DH) in pediatrics following living donor liver transplantation (LDLT) has been seldom reported in the past.

PATIENT CONCERNS

We report successful diagnosis and treatment of three pediatric cases with DH secondary to LDLT, discuss the possible etiology, and review the relevant literature.

DIAGNOSES

The primary disease was biliary atresia and DH was diagnosed by computed tomography scan or x-ray of chest.

INTERVENTIONS

Laparotomy was performed successfully to repair the DH.

OUTCOMES

The respiratory and digestive function was gradually recovered in 1 to 2 weeks after repair operation. In 2 to 8 months follow-up, patients were asymptomatic without any respiratory or digestive complications.

LESSONS

DH post-LDLT should be recognized as a possible complication when a left lateral segment graft is used. Careful clinical examination and prompt surgery could minimize complications.