Multi-slice computed tomography imaging of the post transplant complications in the recipients after living donor liver transplantation

AimTo evaluate the clinical utility of MSCT in the detection and proper management of the different post-transplant complications in the recipients after LDLT.Patients and methods33 patients (28 males & 5 females) who underwent LDLT were referred to the Radiology department (CT unit) for evaluation of vascular, biliary, and parenchymal complications after LDLT using MSCT.ResultsVascular complications were found in 16 cases (48.5%) [hepatic artery thrombosis (8 cases), hepatic artery stenosis (1 case), portal vein thrombosis (3 cases), portal vein stenosis (2 cases), hepatic veins stenosis (2 cases)]. Biliary complications were found in 9 cases (27.3%) [biloma (6 cases) 18.2%, biliary stricture (3 cases) 9.1%]. Hepatic abscess was found in 2 cases (6%), acute rejection was found in 2 cases (6%), recurrent HCC was found in 3 cases (9.1%). Neoplastic lympho-proliferative disorder was found in 1 case (3%).ConclusionMSCT is a non-invasive and accurate examination to detect complications after LDLT, it provides synchronous evaluation of the hepatic vasculature, biliary tract, liver parenchyma and the other abdominal organs in a single examination. MSCTA is the best option for confirming the US suspicion of vascular complications, with DSA reserved if therapeutic intervention is contemplated.