ORIGINAL RESEARCH article

Front. Pediatr.

Sec. Pediatric Surgery

Volume 13 - 2025 | doi: 10.3389/fped.2025.1525423

This article is part of the Research TopicLiver disease and liver transplantation in childrenView all 3 articles

Acquired right-sided diaphragmatic hernia after pediatric living donor transplantation: A guide for the non-transplant pediatric

Provisionally accepted
Francesca PalmisaniFrancesca Palmisani1Hannah Stundner-LadenhaufHannah Stundner-Ladenhauf2*Judith PichlerJudith Pichler3Denise AldrianDenise Aldrian4Andreas HeilosAndreas Heilos3Philipp SteinbauerPhilipp Steinbauer3Martin L MetzelderMartin L Metzelder1Janina Maria PatschJanina Maria Patsch5Wolf-Dieter HuberWolf-Dieter Huber3Rupert OberhuberRupert Oberhuber2Wilfried KroisWilfried Krois1
  • 1Department of Pediatric Surgery, Medical University of Vienna, Vienna, Austria
  • 2Department of Visceral, Transplantation and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Tyrol, Austria
  • 3Clinical Department of Pediatric Nephrology and Gastroenterology, University Clinic for Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Vienna, Austria
  • 4Department of Pediatrics I, Innsbruck Medical University, Innsbruck, Tyrol, Austria
  • 5Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Vienna, Austria

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1. What is currently known about this topic?Acquired right-sided diaphragmatic hernia after pediatric liver transplantation is a rare condition which has been described in sparse case reports mostly directed to the attention of transplant surgeons.As centralization policies have been established in most countries to assure better outcomes of the pediatric transplants, long-term follow-up often occurs in centers with no transplant-units. After reporting our national experience, we aim to offer a guide to the non-transplant pediatric surgeons who need to face the acute management in areas where immediate transfer to a specialized pediatric transplant-center is limited.

Keywords: Acquired diaphragmatic hernia, Pediatric Surgery, pediatric living-donor liver transplantation (pLDLT), Multicenter study, Split-liver transplantation, Centralization

Received: 09 Nov 2024; Accepted: 19 May 2025.

Copyright: © 2025 Palmisani, Stundner-Ladenhauf, Pichler, Aldrian, Heilos, Steinbauer, Metzelder, Patsch, Huber, Oberhuber and Krois. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Hannah Stundner-Ladenhauf, Department of Visceral, Transplantation and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Tyrol, Austria

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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