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Inferior Phrenic Arterial Bleeding After Adult Liver Transplantation: Incidence, Clinical Manifestations, and Predictive CT Features

¹ Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-dong, Songpa-gu, Seoul, South Korea 138-736.
² Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

OBJECTIVE. The purpose of this study was to determine the incidence of inferior phrenic arterial bleeding after liver transplantation in adult patients and to describe its clinical manifestations and predictive CT features.

CONCLUSION. Inferior phrenic arterial bleeding occurs frequently and is one of the major postoperative bleeding sites in patients undergoing liver transplantation. Awareness of its common clinical manifestations and predictive CT features is essential for prompt diagnosis and treatment of this early vascular complication, and this knowledge can help to avoid unnecessary reoperation and catastrophic hypotension.

Keywords: abdominal imaging • arteriography • CT • liver transplantation

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				D. I. Gwon, G.-Y. Ko, H.-K. Yoon, K.-B. Sung, J. M. Lee, S. J. Ryu, M. H. Seo, J.-C. Shim, G. J. Lee, and H. K. Kim Inferior Phrenic Artery: Anatomy, Variations, Pathologic Conditions, and Interventional Management RadioGraphics, May 1, 2007; 27(3): 687 - 705. [Abstract] [Full Text] [PDF]