TITLE:
Invasion of Artificial Vascular Graft into Duodenal Bulb after Living Donor Liver Transplantation
AUTHORS:
Yu-Ju Hung, Kuo-Hua Lin, Chen-Te Chou, Chih-Jan Ko, Ping-Yi Lin, Chia-En Hsieh, Hsu-Heng Yen, Yao-Li Chen
KEYWORDS:
Living Donorliver Transplantation, Artificialgraft
JOURNAL NAME:
Surgical Science,
Vol.6 No.2,
February
15,
2015
ABSTRACT: Artificial vessel grafts are used for outflow
reconstruction in living donor liver transplantation (LDLT). We report a very
rare case of invasion of an artificial vascular graft into the duodenal bulb
after LDLT. A 54-year-old man underwent LDLT in August 2012. A right hemiliver
without a middle hepatic vein was used as a graft. The outflow of segment V was
created by anatomizing an artificial graft to the inferior vena cava. During
outpatient follow-up, the patient complained of acid regurgitation but did not
experience abdominal pain. Panendoscopy was arranged and it revealed that the
artificial graft had invaded the duodenal bulb. Operation was performed to
remove the graft and the patient discharged after fourteen days of hospital
stay. Invasion of artificial vascular grafts to adjacent organs is rare, but
happens in living donor liver transplantation. It may be caused by
inappropriate vessel graft length and adhesion between the graft and adjacent
organs.