Abdomen Sonography: Postsurgical Anatomy Abnormalities - Video Lesson

Welcome back to our abdominal ultrasound series. This lesson will cover the normal versus abnormal anatomic appearances of the transplanted liver and kidney. In addition to evaluating the transplants vascular perfusion, the sonographer also needs to recognize abnormal non vascular findings that may point to complications, graft dysfunction or even rejection. These sonographic clues must be interpreted in the context of the patient symptoms, lab values and where they are in the post transplant timeline. Let's first remember that the term graft refers to the transplanted organ itself. After a liver transplant, it's common to see fluid around the graft but it's important to recognize what type of collection may be present. Seromas are pockets of clear watery fluid that sometimes collect after surgery. They form because the body processes fluid during the healing process and it can gather in the surgical space. On ultrasound they usually look simple and anechoic similar