Abdomen Sonography: Liver Postoperative Anatomy - Video Lesson

Hi everyone and welcome back to our Abdominal Ultrasound series. In this lesson, we will discuss the postoperative anatomy of the liver transplant, which is a life saving surgery for patients with end stage liver disease. Since ultrasound plays a central role in postoperative monitoring, it is important to understand the normal postoperative appearance of a transplanted liver and to be able to identify key anatomic landmarks, vascular anastomoses and biliary structures. Let's start with the normal sonographic appearance of the post transplant liver. On grayscale ultrasound, the transplanted liver typically appears similar to a native liver with homogeneous echotexture and smooth contours. A surgical scar may be present on the abdominal wall, but the liver itself should not show focal masses, large fluid collections, or parenchymal distortion in the immediate postoperative period. Surrounding fluid, such as a small amount of ascites or seroma near the incision, can be a normal finding early after