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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=54100#.VO16_izQrzE
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=54100#.VO16_izQrzE
Author(s)
Yu-Ju Hung1, Kuo-Hua Lin1, Chen-Te Chou2, Chih-Jan Ko1, Ping-Yi Lin3, Chia-En Hsieh1, Hsu-Heng Yen4, Yao-Li Chen1*
Affiliation(s)
1Department of Surgery, Changhua Christian Hospital, Changhua, Chinese Taipei.
2Department of Medical Imaging, Changhua Christian Hospital, Changhua, Chinese Taipei.
3Transplant Medicine & Surgery Research Centre, Changhua Christian Hospital, Changhua, Chinese Taipei.
4Department of Gastroenterology, Changhua Christian Hospital, Changhua, Chinese Taipei.
2Department of Medical Imaging, Changhua Christian Hospital, Changhua, Chinese Taipei.
3Transplant Medicine & Surgery Research Centre, Changhua Christian Hospital, Changhua, Chinese Taipei.
4Department of Gastroenterology, Changhua Christian Hospital, Changhua, Chinese Taipei.
ABSTRACT
Artificial
vessel grafts are used for outflow reconstruction in living donor liver
transplantation (LDLT). We report a very rare case of invasion of an
artificial vascular graft into the duodenal bulb after LDLT. A
54-year-old man underwent LDLT in August 2012. A right hemiliver without
a middle hepatic vein was used as a graft. The outflow of segment V was
created by anatomizing an artificial graft to the inferior vena cava.
During outpatient follow-up, the patient complained of acid
regurgitation but did not experience abdominal pain. Panendoscopy was
arranged and it revealed that the artificial graft had invaded the
duodenal bulb. Operation was performed to remove the graft and the
patient discharged after fourteen days of hospital stay. Invasion of
artificial vascular grafts to adjacent organs is rare, but happens in
living donor liver transplantation. It may be caused by inappropriate
vessel graft length and adhesion between the graft and adjacent organs.
Cite this paper
References
Hung,
Y. , Lin, K. , Chou, C. , Ko, C. , Lin, P. , Hsieh, C. , Yen, H. and
Chen, Y. (2015) Invasion of Artificial Vascular Graft into Duodenal Bulb
after Living Donor Liver Transplantation. Surgical Science, 6, 71-74. doi: 10.4236/ss.2015.62012.
| [1] | Lo,
C.-M., Fan, S.-T., Liu, C.-L. and Wong, J. (2003) Hepatic Venoplasty in
Living-Donor Liver Transplantation Using Right Lobe Graft with Middle
Hepatic Vein. Transplantation, 75, 358-360. http://dx.doi.org/10.1097/01.TP.0000046527.19422.3E |
| [2] | Lee, S.G., Park, K.M., Hwang, S., et al. (2001) Congestion of Right Liver Graft in Living Donor Liver Transplantation. Transplantation, 71, 812-814. http://dx.doi.org/10.1097/00007890-200103270-00021 |
| [3] | Wang, C.C., Lopez-Valdes, S., Lin, T.-L., et al. (2014) Outcomes of Long Storage Times for Cryopreserved Vascular Grafts in Outflow Reconstruction in Living Donor Liver Transplantation. Liver Transplantation, 20, 173-181. http://dx.doi.org/10.1002/lt.23785 |
| [4] | Kim,
B.-W., Wang, H.-J., Lee, B.M., et al. (2007) Middle Hepatic Vein
Reconstruction of Right Liver Graft Using the Glutaraldehyde-Treated
Acellular Bovine Pericardium. Surgery, 141, 832-834. http://dx.doi.org/10.1016/j.surg.2007.01.034 |
| [5] | Yi, N.-J., Suh, K.-S., Lee, H.W., et al. (2007) An Artificial Vascular Graft Is a Useful Interpositional Material for Drainage of the Right Anterior Section in Living Donor Liver Transplantation. Liver Transplantation, 13, 1159-1167. http://dx.doi.org/10.1002/lt.21213 |
| [6] | Honda, K., Okamura, Y., Nishimura, Y. and Uchita, S. (2013) Migration of the Ringed ePTFE Graft into the Small Intestine. Journal of Vascular Surgery, 57, 525. http://dx.doi.org/10.1016/j.jvs.2011.11.051 |
| [7] | Kim, M.J., Kim, H.B., Han, J.K., et al. (2011) Injuries of Adjacent Organs by the Expanded Polytetrafluoroethylene Grafts in the Venoplasty of Middle Hepatic Veins in Living-Donor Liver Transplantation: Computed Tomographic Findings and Possible Risk Factors. Journal of Computer Assisted Tomography, 35, 544-548. http://dx.doi.org/10.1097/RCT.0b013e318227a68a eww150225lx |
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