Affordable Access

deepdyve-link
Publisher Website

Late-onset venous outflow obstruction treated by placement of a Foley balloon catheter in living donor liver transplantation using a left lobe.

Authors
  • Nomura, Ryohei
  • Ishizaki, Yoichi
  • Sugo, Hiroyuki
  • Yoshimoto, Jiro
  • Imamura, Hiroshi
  • Kawasaki, Seiji
Type
Published Article
Journal
Clinical Transplantation
Publisher
Wiley (Blackwell Publishing)
Publication Date
Jan 01, 2010
Volume
24
Issue
6
Pages
723–725
Identifiers
DOI: 10.1111/j.1399-0012.2010.01227.x
PMID: 20184626
Source
Medline
License
Unknown

Abstract

A 60-yr-old man having hepatitis C virus-associated liver cirrhosis and hepatocellular carcinoma underwent living donor liver transplantation using a left liver graft. On post-operative day 20, the patient developed a large amount of ascites and hypovolemic shock because of decreased venous return. Emergency laparotomy revealed that fixation of the round ligament to the abdominal wall was loose, and free movement of the graft into the right subphrenic space had caused twisting the hepatic vein. After upward traction of the round ligament, two Foley balloon catheters were inserted into the right subphrenic space to maintain the graft in the midline portion. The catheters with the balloons were removed on day 30 after re-operation. This method is easy, simple and inexpensive for the treatment of hepatic venous outflow block after partial liver transplantation.

Report this publication

Statistics

Seen <100 times