Intraoperative Pneumatocele Formation during Liver Transplantation for Polycystic Liver Disease: Successful Non-Operative Management

A pneumatocele is an uncommon but important consideration during liver transplantation for PLD, potentially resulting from barotrauma related to abrupt changes in intrathoracic pressure during hepatectomy and mechanical ventilation. Considering the risk of infection in immunosuppressed patients, close monitoring is essential. On the contrary, surgical resection also carries the risk of pulmonary or bronchial fistulae; therefore, careful consideration is required. This case demonstrates that non-operative management with careful observation can be an effective strategy in selected patients.

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Publication Details

Journal
Surgical Case Reports
Published
2025-01-01
DOI
https://doi.org/10.70352/scrj.cr.25-0341
Primary Topic
Genetic and Kidney Cyst Diseases
Type
article
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article

Intraoperative Pneumatocele Formation during Liver Transplantation for Polycystic Liver Disease: Successful Non-Operative Management

Kazuki Kato, Isamu Makino, Mitsuyoshi Okazaki, Shinichi Nakanuma et al.
1 links
Surgical Case Reports
Genetic and Kidney Cyst Diseases
article

Intraoperative Pneumatocele Formation during Liver Transplantation for Polycystic Liver Disease: Successful Non-Operative Management

Kazuki Kato, Isamu Makino, Mitsuyoshi Okazaki, Shinichi Nakanuma, Ryohei Takei, Shintaro Yagi, Daisuke Saito, Satoshi Takada, Takahiro Araki, Abdulrahman Nasr, Renta Kobori
article en

Abstract

A pneumatocele is an uncommon but important consideration during liver transplantation for PLD, potentially resulting from barotrauma related to abrupt changes in intrathoracic pressure during hepatectomy and mechanical ventilation. Considering the risk of infection in immunosuppressed patients, close monitoring is essential. On the contrary, surgical resection also carries the risk of pulmonary or bronchial fistulae; therefore, careful consideration is required. This case demonstrates that non-operative management with careful observation can be an effective strategy in selected patients.

Surgical Case ReportsVol. 11(1)
Kanazawa University (JP)
Openalex Percentile: Top 75%
Genetic and Kidney Cyst Diseases
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