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Published in: Updates in Surgery 1/2011

01-03-2011 | Case Report

Diaphragm rupture in a liver transplant patient under chronic immunosuppressive therapy with sirolimus: rare complication after liver transplantation

Authors: Anna Rossetto, Umberto Baccarani, Gian Luigi Adani, Dario Lorenzin, Vittorio Bresadola, Giovanni Terrosu

Published in: Updates in Surgery | Issue 1/2011

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Abstract

A diaphragm rupture is a very rare event. A variety of conditions such as coughing, delivery, and vigorous exercise causing a sudden increase of the intra-abdominal pressure can result in diaphragm rupture [1]. The diagnosis can be difficult because of non-specific symptoms and no history of blunt or penetrating trauma. Due to anatomical reasons, diaphragmatic lesions in the left side are more common than those in the right side. Chronic immunosuppressive therapy in transplanted patients, especially with antiproliferative drugs such as mTOR inhibitor, has been considered as a risk factor for the development of incisional hernia [2, 3]. We present the case of diaphragm rupture in a liver transplant patient under chronic immunosuppressive therapy with sirolimus.
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Metadata
Title
Diaphragm rupture in a liver transplant patient under chronic immunosuppressive therapy with sirolimus: rare complication after liver transplantation
Authors
Anna Rossetto
Umberto Baccarani
Gian Luigi Adani
Dario Lorenzin
Vittorio Bresadola
Giovanni Terrosu
Publication date
01-03-2011
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 1/2011
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-010-0039-2

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