Imaging of Complications of Liver Transplantation: Multidetector Computed Tomography Findings

Bismpa, K.; Zlika, Sofia; Fouzas, I.; Ιmvrios, G.; Papanikolaou, Vasilis K.; Petridis, Anastasios

doi:10.1016/j.transproceed.2012.09.015

Cited by 10 publications

(3 citation statements)

References 3 publications

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“…Computed tomography (CT) provides a panoramic view of the abdominal cavity, overcoming the limited acoustic windows of US. The use of intravenous iodinated contrast material improves the evaluation of vascular patency, liver parenchymal abnormalities, and extrahepatic findings (23,24). However, the disadvantages of CT, including radiation, difficulty of patient transportation to the CT room, and necessity of sedation for some children, make it a second-line imaging modality in the posttransplant setting.…”

Section: Computed Tomographymentioning

confidence: 99%

Pediatric Liver Transplant: Techniques and Complications

et al. 2017

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Liver transplant is considered to be the last-resort treatment approach for pediatric patients with end-stage liver disease. Despite the remarkable advance in survival rates, liver transplant remains an intricate surgery with significant morbidity and mortality. Early diagnosis of complications is crucial for patient survival but is challenging given the lack of specificity in clinical presentation. Knowledge of the liver and vascular anatomy of the donor and the recipient or recipients before surgery is also important to avoid complications. In this framework, radiologists play a pivotal role on the multidisciplinary team in both pre- and postoperative scenarios by providing a road map to guide the surgery and by assisting in diagnosis of complications. The most common complications after liver transplant are (a) vascular, including the hepatic artery, portal vein, hepatic veins, and inferior vena cava; (b) biliary; (c) parenchymal; (d) perihepatic; and (e) neoplastic. The authors review surgical techniques, the role of each imaging modality, normal posttransplant imaging features, types of complications after liver transplant, and information required in the radiology report that is critical to patient care. They present an algorithm for an imaging approach for pediatric patients after liver transplant and describe key points that should be included in radiologic reports in the pre- and postoperative settings. Online supplemental material is available for this article. RSNA, 2017.

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Section: Computed Tomographymentioning

confidence: 99%

Pediatric Liver Transplant: Techniques and Complications

et al. 2017

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“…Multidetector computed tomography (MDCT) plays a vital role is assessing the bile ducts and surgical, traumatic, or intervention-related biliary complications. 12,[81][82][83][84][85][86] In the setting of trauma, bile duct injuries may be subtle and not readily detected or may manifest several days to weeks after initial injury. Early manifestations of biliary leakage may be nonspecific findings of trace ascites.…”

Section: Computed Tomographymentioning

confidence: 99%

Imaging and Intervention of Biliary Leaks and Bilomas

Vadvala

Arellano

2017

Dig Dis Interv

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Biliary leaks and bilomas develop due to hepatobiliary surgery, trauma, or locoregional therapy for hepatic malignancies. Though uncommon, they can be a source of abdominal pain, hyperbilirubinemia, and sepsis. A variety of diagnostic tools and interventional techniques are available to diagnose and manage biliary leaks and bilomas. Successful management often requires a multidisciplinary approach between the radiologist, surgeon, and endoscopist.

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“…Although multidetector computed tomography (MDCT) is usually accepted as a fast, noninvasive diagnostic technique in the evaluation of postoperative collections and vascular complications or if the US examination is technically unsatisfactory, its role has not yet completely defined in the diagnostic algorithm of complications in liver transplant patients [11][12][13].…”

Section: Introductionmentioning

confidence: 99%