Abstract
Computed tomography (CT) is one of several imaging modalities employed in the evaluation of complications following orthotopic liver transplantation. Abdominal CT scans were performed in 92 (48%) of the first 190 liver transplant patients at our institution. These studies were retrospectively reviewed to determine the indications for CT in this population and to determine the incidences of the various CT findings. The major indication (70%) was detection of bile leakage, hemorrhage, or abscess. The role of CT was primarily to discover such abnormal fluid collections and guide their percutaneous drainage. This article describes a wide spectrum of common and uncommon findings following liver transplantation and illustrates their CT features.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Starzl TE, Demetris AJ, Thiel DV. Liver transplantation.N Engl J Med 1989;321:1014–1022
Markin RS, Hollins S, Wood RP, Shaw BW. Main autopsy findings in liver transplant patients.Modern Pathol 1989;2:339–348
Munoz SJ, Friedman LS. Liver transplantation.Medical Clin North Am 1989;73:1011–1039
Wozney P, Zajko AB, Bron KM, Point S, Starzl TE. Vascular complications after liver transplantation: a five year experience.AJR 1986;147:657–663
Parien D, Riou JY, Schmit P, Verlhac S, Bernard O, Devictor D, Gauthiie F, Houssin D, Choumont P. Variability of clinical presentation of hepatic artery thrombosis in pediatric liver transplantation: role of imaging modalities.Pediatr Radiol 1990;20:253–257
Letourneau JG, Hunter DW, Payne WD, Day DL. Imaging of and intervention for biliary complications after hepatic transplantation.AJR 1990;154:729–733
Koslin DB, Stanley RJ, Berland LL, Shin MS, Dalton SC. Hepatic perivascular lymphadema: CT appearance.AJR 1988;150:111–113
Marincek B, Barbier PA, Becker CD, Mettier D, Ruchti C. CT appearance of impaired lymphatic drainage in liver transplants.AJR 1986;147:519–523
Letourneau JG, Day DL, Maile CW, Crass JR, Ashcher NL, Frick M. Liver allograft transplantation: post-operative CT findings.AJR 1987;148:1099–1103
Wechsler RJ, Munoz SJ, Needleman L, Kurtz AB, Miller CL, Yang S, Maddrey WC, Jarrell BE. The perioporal collar: a CT sign of liver transplant rejection.Radiology 1987;65:57–60
Kaplan SB, Sumkin JH, Campbell WL, Zajko AB, Demetris AJ. Periportal low-attenuation areas on CT: value as evidence of liver transplant rejection.AJR 1989;152:285–287
Solomon N, Sumkin J. Right adrenal gland hemorrhage as a complication of liver transplantation: CT appearance.JCAT 1988;12:95–97
Bowen A, Keslar PJ, Neuman B, Hashida Y. Adrenal hemorrhage after liver transplantation.Radiology 1990;176:85–88
Olthoff KM, Millis JM, Rosove MH, Goldstein LI, Ramming KP, Busuttil RW. Is liver transplantation justified for the treatment of hepatic malignancies?Arch Surg 1990;125:1261–1266
Harris KM, Schwartz ML, Slasky BS, Nalesnik M, Makowka L. Posttransplantation cyclosporin-induced lymphoproliferative disorders: clinical and radiologic manifestations.Radiology 1987;162:697–700
Honda H, Franken EA, Barloon TJ, Smith JL. Hepatic lymphoma and cyclosporin-treated transplant recipients: sonographic and CT findings.AJR 1989;152:501–503
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shyn, P.B., Goldberg, H.I. Abdominal CT following liver transplantation. Gastrointest Radiol 17, 231–236 (1992). https://doi.org/10.1007/BF01888556
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01888556