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Updated: Apr 12, 2026

Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
Published on: July 18, 2025
Extravascular complications following abdominal organ transplantation
G Low1, J L Jaremko2, D J Lomas3
1Department of Radiology & Diagnostic Imaging, University of Alberta Hospital, Edmonton, Alberta, Canada; Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, England, UK.
Abstract:
A variety of transplants have been performed in the abdomen including liver, kidney, pancreas and islet, bowel, and multivisceral transplants. Imaging plays an important role in graft surveillance particularly to exclude post-transplant complications. When complications occur, therapeutic image-guided interventions are invaluable as these may be graft-saving and even life-saving. Vascular complications following transplantation have been extensively reported in recent reviews. The focus of this review is to discuss post-transplant complications that are primarily extravascular in location. This includes biliary, urological, intestinal, malignancy, infections, and miscellaneous complications. Familiarity with the imaging appearances of these complications is helpful for radiologists as accurate diagnosis and expedient treatment has an impact on graft and patient survival.
Insights
This review focuses on non-vascular complications after abdominal transplants, including biliary, urological, and intestinal issues. Accurate imaging diagnosis is crucial for timely treatment and improving graft survival.
Area of Science:
- Abdominal transplantation
- Radiology
- Post-transplant complications
Background:
- Abdominal transplants (liver, kidney, pancreas, bowel, multivisceral) are common.
- Imaging is vital for graft surveillance and detecting post-transplant complications.
- Image-guided interventions can be life-saving, but this review focuses on extravascular issues.
Purpose of the Study:
- To review common post-transplant complications that are primarily extravascular in location.
- To familiarize radiologists with the imaging appearances of these complications.
- To emphasize the impact of accurate diagnosis and treatment on graft and patient survival.
Main Methods:
- Literature review focusing on extravascular complications.
- Discussion of imaging findings for various post-transplant issues.
- Synthesis of information on biliary, urological, intestinal, malignancy, and infection complications.
Main Results:
- Post-transplant complications are common and can be extravascular.
- Key extravascular complications include biliary, urological, and intestinal issues.
- Infections, malignancy, and miscellaneous complications also occur post-transplant.
Conclusions:
- Radiologists must be familiar with the imaging spectrum of extravascular post-transplant complications.
- Accurate and timely diagnosis through imaging is essential for effective management.
- Improved diagnostic accuracy directly impacts graft and patient survival rates.
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