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110871

Role of Multislice CT in the Evaluation of Non-Vascular Complications Following Hepatic Transplantation from Adult Living Donors

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Last updated: 22 Jan 2023

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Abstract

Abstract Background: Hepatic transplantation especially from living donors has allowed widespread utilization of the pro-cedure in management of terminal hepatic disease. Complications following hepatic transplantation are en-countered frequently. These complications may be either vascular or non-vascular complications. The non-vascular complications may include, biliary complications, infection and tumoral recurrence. Different diagnostic radiological procedures are used for identification of these complications including ultrasound, Doppler, computed tomography and magnetic resonance imaging. Recent advances in multislice computed tomography including the multiplanar and angiographic capabilities have expanded the role of computed tomography in the identification and differentiation of such complications. Aim of Study: The aim of this study is to highlight the importance of multi-slice CT in the identification and evalu-ation of the various non-vascular post-operative complications in recipients following hepatic transplantation. Patients and Methods: This is a prospective study that included 45 patients presenting with suspected post hepatic transplantation complications. Patients were referred to the Kasr Al-Aini Hospital Radiology Department between October 2017 to December 2019 to perform Multislice CT (MSCT) for further evaluation of underlying complications. Results: Non-vascular complications were found in 21 cases (46.6%). Biliary complications represented 57.1% of the non-vascular complications (7 cases biloma and 5 cases biliary stricture). Parenchymal complication included 2 cases of hepatic abscess (9.5%) and 2 cases of graft rejection (9.5%). Neoplastic complications included 4 cases recurrent HCC (19%) and 1 case neoplastic lympho-proliferative disorder (4.7%). Conclusion: MSCT of the liver is a feasible non-invasive procedure for evaluating non-vascular complications following liver transplantation allowing prompt and proper intervention.

DOI

10.21608/mjcu.2020.110871

Keywords

MSCT, hepatic, transplantation, Complica-tions

Authors

First Name

HAZEM H. SOLIMAN, M.D.;

Last Name

MEDHAT MADBOULI, M.D.

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Affiliation

The Department of Radiology, Faculty of Medicine, Cairo University* and Theodor Bilharz Research Institute, Cairo**, Egypt

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Volume

88

Article Issue

June

Related Issue

14146

Issue Date

2020-06-01

Receive Date

2020-01-04

Publish Date

2020-06-01

Page Start

1,213

Page End

1,218

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_110871.html

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https://mjcu.journals.ekb.eg/service?article_code=110871

Order

27

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Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

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Article

Created At

22 Jan 2023