Diagnosis and treatment of XXXX after orthotopic liver transplant in adults.

@entity1 @entity697 @entity698 @entity1157 @entity344 @entity490 @entity925 @entity221
OBJECTIVES: The incidence of @entity697 after orthotopic liver transplant is low but difficult to differentiate from other posttransplant complications. We sought to summarize the clinical characteristics, diagnosis, and treatment of @entity697 during the early posttransplant stage. MATERIALS AND METHODS: Data from 4 liver transplant recipients with @entity697 immediately after transplant and 4 @entity1 with misdiagnosed @entity698 , between January 2000 and December 2007, were studied retrospectively. RESULTS: The incidence of @entity697 immediately after orthotopic liver transplant was 0.49%. Four @entity1 had right lower quadrant @entity490 with fixed @entity925 , rebound @entity925 , and @entity221 on the eighth, ninth, 11th, and 13th days after surgery. White blood cells counts were elevated in all @entity1 . Appendectomies were performed on day 1 or 2 after the onset of symptoms. No appendicular perforations were found. All @entity1 recovered well. After an exploratory laparotomy, the 4 @entity1 originally misdiagnosed with @entity698 were correctly diagnosed with a duodenal diverticulum perforation (1 @entity1 ), a jejunum perforation (1 @entity1 ), and @entity1157 (2 @entity1 ). Two of these @entity1 died despite aggressive treatment. CONCLUSIONS: The incidence of @entity697 immediately after orthotopic liver transplant is low and should be differentiated from other surgical complications, such as @entity344 and @entity1157 . Appendectomy is recommended in these @entity1 as early as possible.
