Clonorchis sinensis may be transferred in a liver transplant.
Typically the donor lives in or has a history of living in southeast Asia. The donor usually becomes infected by eating raw or undercooked fish.
The donor may be symptomatic but a low-intensity infection may be asymptomatic or have nonspecific symptoms.
In many cases the trematode is killed during the cold preservation procedure.
Presentation after the transplant:
(1) postoperative blockage of the hepatico-jejunostomy splintage tube
(2) obstructive jaundice
(3) recurrent pyogenic cholangitis
(4) unexplained upper abdominal discomfort, diarrhea and malaise
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Specialty: Infectious Diseases, Surgery, general
