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Late post liver transplant protein losing enteropathy: Rare complication of incisional hernia

Late post liver transplant protein losing enteropathy: Rare complication of incisional hernia

作     者:Jonathan D Evans M Thamara PR Perera CY Pal James Neuberger Darius F Mirza 

作者机构:The Liver UnitThe Queen Elizabeth Hospital 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2013年第19卷第27期

页      面:4409-4412页

核心收录:

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Protein losing enteropathies Bacterial overgrowth Hypoproteinaemia Incarcerated hernia Liver transplantation. 

摘      要:Development of oedema and hypoproteinaemia in a liver transplant recipient may be the first signs of graft dysfunction and should prompt a full assessment. We report the novel case of a patient who, years after liver transplantation developed a functional blind loop in an incisional hernia, which manifested as oedema and hypoproteinaemia secondary to protein losing enteropathy. After numerous investigations, the diagnosis was made by flurodeoxyglucose positron emmision tomography (FDG-PET) imaging. Surgical repair of the incisional hernia was followed several months later by resolution of the protein loss, and confirmed at a post operative FDG-PET scan at one year.

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