Abstract:

Objective To investigate the prophylaxis, diagnosis and treatment of perforation of intestine post pediatric liver transplantation. Methods Retrospective analysis was done on 33 pediatric liver transplantation in Tianjin First Center Hospital from July 1, 2013 to December 31, 2013 (including 2 gross liver transplantation, 7 split liver transplantation _y and 24 living donor liver transplantation) . Patients were followed up for 3 months. Results One patient suffered from perforation of intestine. The patient was cured by wedge excision and reconstruction of intestine. Conclusions The key points of diagnosis and treatment of intestinal perforation post liver transplantation were early discovery, early diagnosis, and early treatment. The risk factors were the using of glucocorticosteroid, immunosuppressive agents, malnutrition, and infection o￡ abdominal cavity. Manifestation including continuous high fever, abdominal distension, unclear drainage, tenderness of abdominal, and abdominal cavity inflated with air in ultrasound test.