Late post liver transplant protein losing enteropathy: rare complication of incisional hernia
Development of oedema and hypoproteinaemia in a liver transplant recipient may be the first signs of graft dysfunction and should prompt a full assessment. We report the novel case of a patient who, years after liver transplantation developed a functional blind loop in an incisional hernia, which ma...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2013-07, Vol.19 (27), p.4409-4412 |
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| container_issue | 27 |
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| container_title | World journal of gastroenterology : WJG |
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| creator | Evans, Jonathan D Perera, M Thamara Pr Pal, Cy Neuberger, James Mirza, Darius F |
| description | Development of oedema and hypoproteinaemia in a liver transplant recipient may be the first signs of graft dysfunction and should prompt a full assessment. We report the novel case of a patient who, years after liver transplantation developed a functional blind loop in an incisional hernia, which manifested as oedema and hypoproteinaemia secondary to protein losing enteropathy. After numerous investigations, the diagnosis was made by flurodeoxyglucose positron emmision tomography (FDG-PET) imaging. Surgical repair of the incisional hernia was followed several months later by resolution of the protein loss, and confirmed at a post operative FDG-PET scan at one year. |
| doi_str_mv | 10.3748/wjg.v19.i27.4409 |
| format | Article |
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We report the novel case of a patient who, years after liver transplantation developed a functional blind loop in an incisional hernia, which manifested as oedema and hypoproteinaemia secondary to protein losing enteropathy. After numerous investigations, the diagnosis was made by flurodeoxyglucose positron emmision tomography (FDG-PET) imaging. Surgical repair of the incisional hernia was followed several months later by resolution of the protein loss, and confirmed at a post operative FDG-PET scan at one year.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v19.i27.4409</identifier><identifier>PMID: 23885154</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Co., Limited</publisher><subject>Case Report ; Edema - etiology ; Female ; Fluorodeoxyglucose F18 ; Hernia, Abdominal - etiology ; Hernia, Abdominal - surgery ; Humans ; Hypoproteinemia - etiology ; Liver Cirrhosis - complications ; Liver Cirrhosis - surgery ; Liver Cirrhosis - therapy ; Liver Transplantation - adverse effects ; Liver Transplantation - methods ; Middle Aged ; Positron-Emission Tomography ; Postoperative Complications ; Protein-Losing Enteropathies - etiology ; Tomography, X-Ray Computed ; Treatment Outcome ; Wound Healing</subject><ispartof>World journal of gastroenterology : WJG, 2013-07, Vol.19 (27), p.4409-4412</ispartof><rights>2013 Baishideng Publishing Group Co., Limited. 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We report the novel case of a patient who, years after liver transplantation developed a functional blind loop in an incisional hernia, which manifested as oedema and hypoproteinaemia secondary to protein losing enteropathy. After numerous investigations, the diagnosis was made by flurodeoxyglucose positron emmision tomography (FDG-PET) imaging. Surgical repair of the incisional hernia was followed several months later by resolution of the protein loss, and confirmed at a post operative FDG-PET scan at one year.</description><subject>Case Report</subject><subject>Edema - etiology</subject><subject>Female</subject><subject>Fluorodeoxyglucose F18</subject><subject>Hernia, Abdominal - etiology</subject><subject>Hernia, Abdominal - surgery</subject><subject>Humans</subject><subject>Hypoproteinemia - etiology</subject><subject>Liver Cirrhosis - complications</subject><subject>Liver Cirrhosis - surgery</subject><subject>Liver Cirrhosis - therapy</subject><subject>Liver Transplantation - adverse effects</subject><subject>Liver Transplantation - methods</subject><subject>Middle Aged</subject><subject>Positron-Emission Tomography</subject><subject>Postoperative Complications</subject><subject>Protein-Losing Enteropathies - etiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Wound Healing</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1rGzEQhkVpaZy0956Cjrmsq5G0u1IPhWLyBYZemmMQsjprK6yljSQ75N9HJm5ITzPMxzsv8xDyDdhc9FJ9f3pYz_eg5573cymZ_kBmnINuuJLsI5kBY32jBe9PyGnOD4xxIVr-mZxwoVQLrZyR-6UtSKeYCx39HhMtyYY8jTYUOqVY0Ac6xuzDmmIomOJky-b5B002IXVxO43e2eJjoHGgPjifa25HusEUvP1CPg12zPj1GM_I3dXln8VNs_x9fbv4tWyc0F1pVGdliy3nvR6UALSyllfIAUFVz9hjJ60aWoUCYOgYc0xprl0_dLBatSjOyM9X3Wm32uJfV60mO5op-a1NzyZab_7vBL8x67g3ogelAarAxVEgxccd5mK2Pjsc6x8w7rIBCQI6EIrXUfY66lLMOeHwdgaYOVAxlYqpVEylYg5U6sr5e3tvC_8wiBeITYwa</recordid><startdate>20130721</startdate><enddate>20130721</enddate><creator>Evans, Jonathan D</creator><creator>Perera, M Thamara Pr</creator><creator>Pal, Cy</creator><creator>Neuberger, James</creator><creator>Mirza, Darius F</creator><general>Baishideng Publishing Group Co., Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130721</creationdate><title>Late post liver transplant protein losing enteropathy: rare complication of incisional hernia</title><author>Evans, Jonathan D ; Perera, M Thamara Pr ; Pal, Cy ; Neuberger, James ; Mirza, Darius F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-86a45e52279f831ea4396be21e18023e7e64a8f58e311f600c08929c7f61bb5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Case Report</topic><topic>Edema - etiology</topic><topic>Female</topic><topic>Fluorodeoxyglucose F18</topic><topic>Hernia, Abdominal - etiology</topic><topic>Hernia, Abdominal - surgery</topic><topic>Humans</topic><topic>Hypoproteinemia - etiology</topic><topic>Liver Cirrhosis - complications</topic><topic>Liver Cirrhosis - surgery</topic><topic>Liver Cirrhosis - therapy</topic><topic>Liver Transplantation - adverse effects</topic><topic>Liver Transplantation - methods</topic><topic>Middle Aged</topic><topic>Positron-Emission Tomography</topic><topic>Postoperative Complications</topic><topic>Protein-Losing Enteropathies - etiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Wound Healing</topic><toplevel>online_resources</toplevel><creatorcontrib>Evans, Jonathan D</creatorcontrib><creatorcontrib>Perera, M Thamara Pr</creatorcontrib><creatorcontrib>Pal, Cy</creatorcontrib><creatorcontrib>Neuberger, James</creatorcontrib><creatorcontrib>Mirza, Darius F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Evans, Jonathan D</au><au>Perera, M Thamara Pr</au><au>Pal, Cy</au><au>Neuberger, James</au><au>Mirza, Darius F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late post liver transplant protein losing enteropathy: rare complication of incisional hernia</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World J Gastroenterol</addtitle><date>2013-07-21</date><risdate>2013</risdate><volume>19</volume><issue>27</issue><spage>4409</spage><epage>4412</epage><pages>4409-4412</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>Development of oedema and hypoproteinaemia in a liver transplant recipient may be the first signs of graft dysfunction and should prompt a full assessment. We report the novel case of a patient who, years after liver transplantation developed a functional blind loop in an incisional hernia, which manifested as oedema and hypoproteinaemia secondary to protein losing enteropathy. After numerous investigations, the diagnosis was made by flurodeoxyglucose positron emmision tomography (FDG-PET) imaging. Surgical repair of the incisional hernia was followed several months later by resolution of the protein loss, and confirmed at a post operative FDG-PET scan at one year.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Co., Limited</pub><pmid>23885154</pmid><doi>10.3748/wjg.v19.i27.4409</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Case Report Edema - etiology Female Fluorodeoxyglucose F18 Hernia, Abdominal - etiology Hernia, Abdominal - surgery Humans Hypoproteinemia - etiology Liver Cirrhosis - complications Liver Cirrhosis - surgery Liver Cirrhosis - therapy Liver Transplantation - adverse effects Liver Transplantation - methods Middle Aged Positron-Emission Tomography Postoperative Complications Protein-Losing Enteropathies - etiology Tomography, X-Ray Computed Treatment Outcome Wound Healing |
| title | Late post liver transplant protein losing enteropathy: rare complication of incisional hernia |
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