|
KMID : 0870420150190010025
|
|
Korean Journal of Hepato-Biliary-Pancreatic Surgery
2015 Volume.19 No. 1 p.25 ~ p.29
|
|
|
Pneumatosis intestinalis after adult living donor liver transplantation: report of three cases and collective literature review
|
|
Park Cheon-Soo
Hwang Shin
Jung Dong-Hwan
Song Gi-Won
Moon Deok-Bog
Ahn Chul-Soo
Park Gil-Chun
Kim Ki-Hun
Ha Tae-Yong
Lee Sung-Gyu
|
|
|
Abstract
|
|
|
Backgrounds/Aims: Pneumatosis intestinalis (PI) is a condition in which multiple gas-filled mural cysts develop in the gastrointestinal tract. Although its exact etiology remains obscure, PI is rarely observed in liver transplant (LT) recipients.
Methods: In 317 cases of adult living donor LT (LDLT) performed during 2011, PI developed in three patients during the 3 year follow-up.
Results: Of these three patients, the two who demonstrated PI at 6 weeks and 2 months after LT, respectively, were asymptomatic and showed no signs of secondary complications. Diagnosis was made in-cidentally using abdominal radiographs and computed tomography (CT) scans. PI was identified in the right ascending colon with concomitant pneumoperitoneum. These two patients received supportive care and maintained a regular diet. Follow-up CT scans demonstrated spontaneous resolution of PI with no complications. The third patient was admitted to the emergency room 30 months after LDLT. His symptoms included poor oral intake and intermittent abdominal pain with no passage of gas. Abdominal radiography and CT scans demonstrated PI in the entire small bowel, with small bowel dilatation, pneumoperitoneum, and pneumoretroperitoneum, but no peritonitis. Physical examination re-vealed abdominal distension but no tenderness or rebound tenderness. After 1 week of conservative treatment, includ-ing bowel rest and antibiotics therapy, PI and pneumoperitoneum resolved spontaneously without complications.
Conclusions: We suggest that adult LDLT recipients who develop asymptomatic or symptomatic PI with no signs of secondary complications can be successfully managed with conservative treatment.
|
|
|
KEYWORD
|
|
|
Pneumatosis intestinalis, Living donor liver transplantation, Pneumoperitoneum
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|