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Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt
Published on: May 7, 2015
Adrenal hemorrhage after liver transplantation
A D Bowen1, P J Keslar, B Newman
1Department of Radiology, University of Pittsburgh, PA.
Radiology
|July 1, 1990
Summary
Adrenal hemorrhage can occur after liver transplantation due to right adrenal vein ligation. These hematomas typically resolve without causing clinical issues and can be monitored if stable.
Area of Science:
- Radiology
- Transplant Surgery
- Endocrinology
Background:
- Ligation of the right adrenal vein during liver transplantation can cause adrenal gland complications.
- Hemorrhagic infarction and hematoma formation are potential risks in the right adrenal gland.
Purpose of the Study:
- To describe the imaging findings and clinical outcomes of adrenal hemorrhage following orthotopic liver transplantation.
Main Methods:
- Retrospective review of seven liver transplant recipients with adrenal hemorrhage.
- Analysis of ultrasound and computed tomographic (CT) scan findings.
- Correlation with clinical manifestations and autopsy findings where available.
Main Results:
- Suprarenal masses were observed on ultrasound (echogenic or anechoic) and CT (inhomogeneous, hypoattenuating).
- Hematomas resolved between 20 days and 11 weeks in survivors.
- Autopsy confirmed adrenal hemorrhage in three cases.
- No massive hemorrhages, adrenal insufficiency, or significant clinical issues were noted.
Conclusions:
- Adrenal hemorrhage is a recognized complication after liver transplantation.
- Imaging findings include suprarenal masses on ultrasound and CT.
- Stable hematomas can be managed conservatively without intervention.
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