Prognostic value of ultrasound in early arterial complications post liver transplant

Figure 1 A 32-year-old male patient underwent a piggyback liver transplant for decompensated cirrhosis and acute liver failure. A: This assessment occurred 15 d postoperatively. Routine ultrasound imaging had failed to reveal hepatic arteries within both the liver and extrahepatic regions. Contrast-enhanced ultrasound showed that the portal vein was prematurely visible (indicated by the orange arrow), while neither intrahepatic nor extrahepatic arteries displayed any enhancement; B: Furthermore, multiple ischemic lesions within the liver were observed in the arterial (phase I), portal (phase II), and late phases (phase III), indicating a lack of enhancement (as indicated by the orange arrow). Surgical confirmation subsequently identified a diffuse formation of arterial thrombosis within the hepatic artery.