What Are the Unique Considerations of Liver Transplant Patients with Abdominal Pain?
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.
KeywordsLiver transplant Abdominal pain Immunocompromised Treatment Diagnosis
- 8.Nijland ML, Kersten MJ, Pals ST, Bemelman FJ, Ten Berge IJ. Epstein-Barr virus–positive posttransplant lymphoproliferative disease after solid organ transplantation: pathogenesis, clinical manifestations, diagnosis, and management. Transplant Direct. 2015;2(1):e48. https://doi.org/10.1097/TXD.0000000000000557.CrossRefPubMedPubMedCentralGoogle Scholar