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Bowel perforation after paediatric orthotopic liver transplantation

  • ORIGINAL ARTICLE
  • Published:
Transplant International

Abstract

Bowel perforation is a well-recognized complication following orthotopic liver transplantation. Of 194 paediatric liver transplantations performed in our hospital, 13 patients (6.7 %) developed bowel perforation post-transplantation. Contributory factors included previous operation, steroid therapy and viral infection. The incidence was higher in children who underwent transplantation for biliary atresia after a previous Kasai portoenterostomy. Seven patients (53 % of this group) reperforated. Diagnosis may be difficult and a high index of suspicion is needed.

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Authors and Affiliations

  1. Liver Transplant Surgical Service, King's College Hospital, Denmark Hill, London SE5 9RS, UK Fax: + 44 171 346 3575 e-mail:hector.vilca_melendez@kcl.ac.uk, , , , , , DK

    H. Vilca Melendez, V. Vougas, P. Muiesan, P. Andreani, M. Rela & N. D. Heaton

  2. Department of Child Health, King's College Hospital, Denmark Hill, London SE5 9RS, UK, , , , , , DK

    G. Mieli-Vergani

Authors
  1. H. Vilca Melendez
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  2. V. Vougas
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  3. P. Muiesan
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  4. P. Andreani
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  5. G. Mieli-Vergani
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  6. M. Rela
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  7. N. D. Heaton
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Additional information

Received: 8 December 1997 Received after revision: 17 February 1998 Accepted: 2 March 1998

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Cite this article

Vilca Melendez, H., Vougas, V., Muiesan, P. et al. Bowel perforation after paediatric orthotopic liver transplantation. Transpl Int 11, 301–304 (1998). https://doi.org/10.1007/s001470050146

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  • DOI: https://doi.org/10.1007/s001470050146

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