Positional outflow obstruction as a cause of early refractory ascites post–pediatric living donor liver transplantation.

Refractory ascites post–liver transplantation can be a challenging problem. Causes of refractory ascites include venous outflow anastomotic stenosis, vessel kinking by the regenerating liver, pre‐existing graft disease, and positional outflow obstruction. We present a case report of a child presenting with high drain output and refractory ascites post–LDLT secondary to a positional kinking. Repeating the Doppler studies with patients both supine and sitting may be helpful. [ABSTRACT FROM AUTHOR]