Normal liver transplant (ultrasound)

Case contributed by Dennis Odhiambo Agolah
Diagnosis almost certain

Presentation

Patient for targeted Doppler evaluation of the liver post-liver transplant one year ago.

Patient Data

Age: 2 years
Gender: Male
ultrasound

The transplanted liver organ is orthotopic at the right upper intra-abdominal quadrant and maintains a smooth outer surface parenchyma of normal size and shape, with the right lobe spanning 7.03 cm in the mid-clavicular line. No intra- or extrahepatic parenchymal focal lesions or abnormal collections. The hepatic vessels and the biliary radicles are not dilated.

The intra-hepatic veins show normal phasic flow with no thrombosis. The main portal vein measures 0.46 cm in diameter, and shows a normal hepatorenal flow pattern. The IVC (measuring 0.68 cm in diameter) is normal and compressible, with no thrombosis. The intra-hepatic arterial supply of the abdominal aorta and its branches show normal Doppler pattern waveforms with normal systolic velocities ranging from 137.0 cm/s, 88.7 cm/s, 191.5 cm/s, and 79.91 cm/s, and with resistive indices ranging from 0.47, 0.57, and 0.77.

Case Discussion

A normal cadaveric liver transplant Doppler ultrasound study findings.

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