XXXX after living donor liver transplantation managed with ectopic placement of a foley catheter: A case report.

@entity1 @entity409 @entity5274 @entity3851 @entity3181 @entity715 @entity1211
INTRODUCTION: The early hepatic @entity3181 (HVOO) is a rare but serious complication after liver transplantation, which may result in graft loss. We report a case of early HVOO after living donor liver transplantation, which was managed by ectopic placement of foley catheter. PRESENTATION: A 51 years old male @entity1 with @entity3851 received a right hemi-liver graft. On the first postoperative day the @entity1 developed @entity409 . Doppler ultrasound (US) showed absence of blood flow in the right hepatic vein without @entity715 . The decision was to re-explore the @entity1 , which showed torsion of the graft upward and to the right side causing HVOO. This was managed by ectopic placement of a foley catheter between the graft and the diaphragm and the chest wall. Gradual deflation of the catheter was gradually done guided by Doppler US and the @entity1 was discharged without complications. DISCUSSION: Mechanical HVOO results from kinking or twisting of the @entity1211 due to anatomical mismatch between the graft and the recipient abdomen. It should be managed surgically by repositioning of the graft or redo of @entity1211 . Several ideas had been suggested for repositioning and fixation of the graft by the use of @entity5274 , tissue expanders, and surgical glove expander. CONCLUSION: We report the use of foley catheter to temporary fix the graft and correct the HVOO. It is a simple and safe way, and could be easily monitored and removed under Doppler US without any complications.
