https://www.ncbi.nlm.nih.gov/pubmed/28781878

Olmscheid J1,2, Molero H3, Gershan W3, Demirel N3.

Abstract

BACKGROUND:
Although diaphragm paresis or paralysis is fairly common following cardiac procedures; it is a less common complication following liver transplantation. Unilateral diaphragm paresis, usually right sided, has been described following liver transplantation in adults and has been rarely described in children.

PURPOSE:
Diaphragmatic injury following LT is often unrecognized and is typically unilateral, involving the right hemidiaphragm. Bilateral diaphragm dysfunction following liver transplantation in children is a rare complication.

METHODS:
This is a case report of bilateral diaphragm paresis in a young child following a repeat liver transplantation.

CONCLUSION:
Bilateral diaphragm paresis following liver transplantation in children is rare and spontaneous resolution is possible. A conservative approach with noninvasive ventilation as a first line treatment to allow the diaphragm to regain function should be considered.

KEYWORDS:
Respiratory medicine; diaphragm; gastroenterology/hepatology; liver; paresis; transplantation