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- A Perwaiz, N Mehta, R Mohanka, V Kumaran, S Nundy, and A S Soin.
- Department of Surgical Gastroenterology and Liver Transplant, Sir Ganga Ram Hospital, New Delhi, India. azharsgrh@gmail.com
- Hernia. 2010 Oct 1; 14 (5): 547-9.
AbstractRight-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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