Article ID Journal Published Year Pages File Type
4224591 The Egyptian Journal of Radiology and Nuclear Medicine 2013 8 Pages PDF
Abstract

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.

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