Objective To introduce the imaging modalities used for the evaluation of postoperative complications of orthotopic liver transplantation (OLT) and to present the imaging findings of these complications.
Methods The literatures related to the imaging methods and imaging manifestations of OLT complications were reviewed.
Results Ultrasound was the initial imaging technique used for the detection of complications in the early postoperative period. Spiral CT and MRI yielded more accurate and comprehensive evaluation of postoperative complications in later stage. So far, there had been no specific imaging findings to suggest rejection reaction. The spectrum of imaging manifestations of OLT complications, such as vascular complications, biliary complications, liver parenchymal complications, and so on, were summarized and illustrated.
Conclusion Imaging examination (especially ultrasound, spiral CT and MRI ) plays an important role in the evaluation of postoperative complications of OLT.
Citation：
LI Wentao,SONG Bin. Imaging Evaluation of Complications of Orthotopic Liver Transplantation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(1): 76-81. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 1. 程燕， 印隆林， 宋彬. 肝移植术前影像学检查综合评价 [J].中国普外基础与临床杂志, 2003; 10(4)∶397.
- 2. GarciaCriado A, Gilabert R, Bargallo X, et al. Radiology in liver transplantation [J]. Semin Ultrasound CT MR, 2002; 23(1)∶114.
- 3. Katyal S, Oliver JH 3rd, Buck DG, et al. Detection of vascular complications after liver transplantation: early experience in multislice CT angiography with volume rendering [J]. AJR Am J Roentgenol, 2000; 175(6)∶1735.
- 4. Nghiem HV. Imaging of hepatic transplantation [J]. Radiol Clin North Am, 1998; 36(2)∶429.
- 5. Nghiem HV, Tran K, Winter TC 3rd, et al. Imaging of complications in liver transplantation [J]. Radiographics, 1996; 16(4)∶825.
- 6. Nolten A, Sproat IA. Hepatic artery thrombosis after liver transplantation: temporal accuracy of diagnosis with duplex US and the syndrome of impending thrombosis [J]. Radiology, 1996; 198(2)∶553.
- 7. Quiroga S, Sebastia MC, Margarit C, et al. Complications of orthotopic liver transplantation: spectrum of findings with helical CT [J]. Radiographics, 2001; 21(5)∶1085.
- 8. Sugimoto H, Kaneko T, Marui Y, et al. Reversal of portal flow after acute rejection in livingdonor liver transplantation [J]. J Hepatobiliary Pancreat Surg, 2001; 8(6)∶573.
- 9. Piolanti M, Fabbro E, Pascali E, et al. CT angiography for the evaluation of adult orthotopic liver transplantation arterial complications [J]. Radiol Med (Torino), 2001; 102(5-6)∶348.
- 10. Boraschi P, Braccini G, Gigoni R, et al. Detection of biliary complications after orthotopic liver transplantation with MR cholangiography [J]. Magn Reson Imaging, 2001; 19(8)∶1097.
