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What Are the Unique Considerations of Liver Transplant Patients with Abdominal Pain?

  • Patrick Sandiford
  • Robert LoflinEmail author
Chapter

Abstract

Liver transplant patients presenting to the ED with abdominal pain offer unique challenges in diagnosis and management. In addition to the usual abdominal pathologies considered, the emergency medicine provider must consider unusual causes of pain that stem from anatomical complications related to the transplant procedure itself, organ rejection, and the effects of immunosuppressive medications. The timing of presentation in relation to the date of transplant is critical as this heavily influences the differential diagnoses and guides empiric antimicrobial therapy. Finally, early communication with the patient’s transplant team or surgeon is crucial to guide appropriate workup and disposition decisions.

Keywords

Liver transplant Abdominal pain Immunocompromised Treatment Diagnosis 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Emergency Medicine Residency, University of Rochester Medical CenterRochesterUSA
  2. 2.University of Rochester Medical CenterRochesterUSA

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