Internal hernia and volvulus of the small bowel following liver transplantation
1997; Springer Science+Business Media; Volume: 10; Issue: 2 Linguagem: Inglês
10.1007/s001470050026
ISSN1432-2277
AutoresAjai Khanna, Beverley Newman, Jared Reyes, John J. Fung, Saturo Todo, Thomas E. Starzl,
Tópico(s)Gastrointestinal disorders and treatments
ResumoTransplant InternationalVolume 10, Issue 2 p. 133-136 Free to Read Internal hernia and volvulus of the small bowel following liver transplantation Ajai Khanna, Ajai Khanna Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this authorBeverley Newman, Beverley Newman Department of Radiology, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USASearch for more papers by this authorJorge Reyes, Jorge Reyes Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this authorJohn J. Fung, John J. Fung Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this authorSaturo Todo, Saturo Todo Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this authorThomas E. Starzl, Thomas E. Starzl Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this author Ajai Khanna, Ajai Khanna Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this authorBeverley Newman, Beverley Newman Department of Radiology, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USASearch for more papers by this authorJorge Reyes, Jorge Reyes Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this authorJohn J. Fung, John J. Fung Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this authorSaturo Todo, Saturo Todo Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this authorThomas E. Starzl, Thomas E. Starzl Department of Surgery, Pittsburgh Transplantation Institute, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, 3601 Fifth Avenue, 4th Floor, Pittsburgh, PA 15213, USA Fax: + 1 412 692 6116Search for more papers by this author First published: 02 June 2008 https://doi.org/10.1111/j.1432-2277.1997.tb00555.xCitations: 31AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Abstract Internal herniation with volvulus of the small intestine is an uncommon, but potentially fatal, complication after liver transplantation. We present here four cases in which the herniation occurred around the Roux-en-Y loop used for the biliary reconstruction. One patient died due to intestinal and liver allograft necrosis; another lost almost the entire small intestine and has since undergone successful intestinal transplantation. Two patients survived following surgery that involved reduction of the hernia and closure of the mesenteric defect. Clinical diagnostic implications emphasize early diagnosis and appropriate operative intervention. References 1 Fisher J K (1981) Computed tomographic diagnosis of volvulus in intestinal malrotation. 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Ann Surg 222: 270–282. 10.1097/00000658-199509000-00006 CASPubMedWeb of Science®Google Scholar Citing Literature Volume10, Issue2March 1997Pages 133-136 ReferencesRelatedInformation
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