Two cases of massive XXXX noted only after induction of anesthesia in living donor liver transplantation.

@entity1 @entity1143
Two adult @entity1 who underwent living donor liver transplantation with acute accumulation of @entity1143 are reported. The chest X-ray of @entity1 1 showed no specific finding 3 days before the operation, and @entity1 2 was known to have @entity1143 and underwent pigtail drainage before transplant. After anesthesia induction and insertion of central venous catheters, a portable chest radiograph was taken to confirm the positions of the central venous catheters and endotracheal tube. A massive @entity1143 was noted unexpectedly in both @entity1 . Approximately 2,000 ml transudative fluid was surgically drained through the right diaphragm in @entity1 1 upon opening of the abdominal cavity. The acute accumulation of massive pleural fluid in @entity1 2 was caused by clamping of the pigtail drainage tube during @entity1 transfer to the operating room; upon unclamping of the tube, 2,000 ml fluid was drained. The intraoperative and postoperative transplant courses of both @entity1 were uneventful. Both were discharged from the hospital in stable condition. Our cases suggest that chest X-ray after induction of the anesthesia and before liver transplantation surgery is recommended. In addition to documenting the positions of the central venous catheters and endotracheal tube, a potential life-threatening @entity1143 requiring appropriate management may be detected.
