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Updated: Nov 19, 2025

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Organ Ischemia-Reperfusion Injury by Simulating Hemodynamic Changes in Rat Liver Transplant Model
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Positional outflow obstruction as a cause of early refractory ascites post-pediatric living donor liver
Aashika Janwadkar1, Aabha Nagral2,3, Shaji Marar2,3
1St. Barnabas Hospital, Bronx, NY, USA.
Pediatric Transplantation
|January 27, 2021
Abstract:
Refractory ascites post-liver transplantation can be a challenging problem. Causes of refractory ascites include venous outflow anastomotic stenosis, vessel kinking by the regenerating liver, pre-existing graft disease, and positional outflow obstruction. We present a case report of a child presenting with high drain output and refractory ascites post-LDLT secondary to a positional kinking. Repeating the Doppler studies with patients both supine and sitting may be helpful.

