Pediatric Abdominal Organ Transplantation: Current Indications, Techniques, and Imaging Findings

Radiol Clin North Am. 2016 Mar;54(2):281-302. doi: 10.1016/j.rcl.2015.09.011. Epub 2015 Dec 31.

Abstract

The anatomy, normal postoperative radiological appearance, and imaging features of common postoperative complications of pediatric abdominal transplants are reviewed, including renal, liver, and intestinal transplants. Doppler ultrasound is the mainstay of imaging after transplantation. Computed tomography (CT) and CT angiography, MR imaging and magnetic resonance (MR) angiography, MR cholangiopancreatography, conventional angiography, and nuclear medicine imaging may be used for problem-solving in pediatric transplant patients. Accurate and timely radiological diagnosis of transplant complications facilitates appropriate treatment and minimizes morbidity and mortality.

Keywords: Doppler ultrasound; Hepatic artery thrombosis; Intestinal failure; Liver transplantation; Multivisceral transplantation; Pediatric renal transplantation; Renal artery stenosis.

Publication types

  • Review

MeSH terms

  • Child
  • Cholangiopancreatography, Magnetic Resonance
  • Diagnostic Imaging*
  • Humans
  • Intestines / transplantation*
  • Kidney Transplantation*
  • Liver Transplantation*
  • Magnetic Resonance Imaging
  • Positron-Emission Tomography
  • Postoperative Complications / diagnosis*
  • Ultrasonography, Doppler