Imaging in liver transplantation is aimed to evaluate donor and recipient for successful transplantation and its outcome.
Types of liver transplant are discussed here.
Pre-transplant evaluation
Donor
volume of liver
parenchymal disease (diffuse or focal)
-
vascular anatomy
arterial variations
venous variations
biliary anatomy
Recipient
vascular anatomy, e.g arterial variations, including enlarged or diminutive vessels
see Milan criteria
Post-transplant evaluation
Normal findings in recipient
perihepatic hematoma
right-sided pleural effusion
minimal ascites
periportal edema
Complications
rejection (can be diagnosed accurately with biopsy only)
-
related to vascular anastomosis
hepatic arterial thrombosis: most common vascular complication, occurring in 2-12% of transplants 3
arterial pseudoaneurysm
portal vein thrombosis/stenosis
hepatic vein thrombosis
-
related to biliary anastomosis
-
biliary obstruction
anastomotic / non-anastomotic strictures (infection, ischemia)
calculus
sepsis
recurrent disease
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