Abdominal Pain and Abnormal Liver Tests After Orthotopic Liver Transplantation

Moderator's Introduction

I am pleased to introduce Dr Miguel Muñoz-Navas as the Guest Discussant for this case. Dr Muñoz-Navas is a distinguised Spanish gastroenterologist who has particular interest and expertise in the management of hepatobiliary and pancreatic disorders. He speaks much better English than I do Spanish, and I look forward to his comments on the case that follows. Welcome, Dr Muñoz-Navas!

References

• 1 Llovet J M, Bruix J, Gores G J. Surgical resection vs. transplantation for early hepatocellular carcinoma. Clues for the best strategy.  Hepatology. 2000;  31 1019-1021
• 2 Poncheron J, Boillet O, Ponchon T, et al. Treatments of biliary fistulas following the removal of a Kehr tube after orthotopic liver transplantation.  Ann Chir. 1994;  48 441-445
• 3 Wolfsen H C, Porayko M K, Hughes R H, et al. Role of ERCP after orthotopic liver transplantation.  Am J Gastroenterol. 1992;  87 955-960
• 4 Rouch D A, Emon J C, Thistlesthwaite J R, et al. Choledochoduodenostomy without a T tube or internal stent in transplantation of the liver.  Surg Gynecol Obstet. 1990;  170 239-244
• 5 Vougas V, Rela M, Gane E, et al. A prospective randomized trial of bile duct reconstruction to liver transplantation: T tube or not T tube?.  Transpl Int. 1996;  9 392-395
• 6 Sherman S, Jamidar P, Shaked A, et al. Biliary tract complications after orthotopic liver transplantation.  Transplantation. 1995;  60 467-470
• 7 Kanj S S, Sharara A I, Clavien P A, et al. Cytomegalovirus infection following liver transplantation: review of the literature.  Clin Infect Dis. 1996;  22 537-549
• 8 Kibbler C C. Infections in liver transplantation: risk factors and strategies for prevention.  J Hosp Infect. 1995;  30 (Suppl) 209-217
• 9 Rubin R H. Cytomegalovirus infection in the liver transplant recipient. Epidemiology, pathogenesis and clinical management.  Clin Liv Dis. 1997;  1 439-542