Back to Search
Start Over
Repeated detection of gas in the portal vein after liver transplantation: A sign of EBV-associated post-transplant lymphoproliferation?
- Source :
-
Pediatric Transplantation . Aug2002, Vol. 6 Issue 4, p332-336. 5p. - Publication Year :
- 2002
-
Abstract
- Abstract: A 1-yr-old child presented with intractable right sided pleural effusion and progressive clinical deterioration 3 weeks after liver transplantation for Alagille Syndrome. He had been treated successfully for severe acute rejection before. Ultrasound and Doppler mode studies repeatedly demonstrated air in the portal vein. Intra-abdominal and intra-thoracic lymphoproliferation was detected, and EBV virus load and serology were suggestive of primary EBV infection. Liver biopsy revealed blast-like infiltrates of B-cells, considered diagnostic for post-transplant lymphoproliferative disease. The disease resolved upon reduction of immunosuppression. We suggest that the detection of portal vein gas in pediatric liver transplant recipients beyond the early post-operative period may be a sign of intra-abdominal post-transplant lymphoproliferative disease. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PLEURAL effusions
*LIVER transplantation
Subjects
Details
- Language :
- English
- ISSN :
- 13973142
- Volume :
- 6
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Pediatric Transplantation
- Publication Type :
- Academic Journal
- Accession number :
- 7344992
- Full Text :
- https://doi.org/10.1034/j.1399-3046.2002.02001.x