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Right-sided diaphragmatic hernia in an adult after living donor liver transplant: a rare cause of post-transplant recurrent abdominal pain

Hernia volume 14, pages 547–549 (2010)Cite this article

Abstract

Right-sided diaphragmatic hernia (DH) after living donor liver transplant in adult recipients has not been described previously. There have been a few reports of right-side DH in paediatric living donor liver transplant recipients and following right lobe donor hepatectomy. We herein describe the first instance of right-sided DH in a 44-year-old man who underwent left lobe live donor liver transplant. Twenty-eight months later, he presented with recurrent right upper abdominal pain. Radiographic workup revealed a right-sided DH. He underwent laparotomy and primary repair of the diaphragmatic defect. Seven months after the repair, the patient remains well and free from symptoms, with a normal chest X-ray. Right-sided DH is rare but may occur after living donor liver transplant. Successful outcome can be achieved by an early diagnosis and prompt management.

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Authors and Affiliations

  1. Department of Surgical Gastroenterology and Liver Transplant, Room No. 2222, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India

    A. Perwaiz, N. Mehta, R. Mohanka, V. Kumaran, S. Nundy & A. S. Soin

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  1. A. Perwaiz
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  2. N. Mehta
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  3. R. Mohanka
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  4. V. Kumaran
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  5. S. Nundy
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  6. A. S. Soin
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Correspondence to A. Perwaiz.

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Perwaiz, A., Mehta, N., Mohanka, R. et al. Right-sided diaphragmatic hernia in an adult after living donor liver transplant: a rare cause of post-transplant recurrent abdominal pain. Hernia 14, 547–549 (2010). https://doi.org/10.1007/s10029-009-0594-y

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  • DOI: https://doi.org/10.1007/s10029-009-0594-y

Keywords

  • Right-sided diaphragmatic hernia
  • Acquired diaphragmatic hernia
  • Postoperative diaphragmatic hernia
  • Liver transplantation