Today, liver transplantation is the gold standard for the treatment of acute liver failure and end-stage chronic liver disease in children.With the advances in surgical techniques, post-operative care, and immunosuppressive therapy, very good outcomes are obtained (as 1-year survival > 90%). However; morbidity and mortality rates are increased in cases who develop biliary-vascular complications and especially GIP, which is sometimes very difficult to diagnose. 1,2 GIP can occur after any type of organ transplantation. [3][4][5] After liver transplantation, it can be observed in all age groups, being more frequent in childhood. The exact cause of high rates of GIP

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A 17-year-old boy presented with abdominal pain. The physical examination revealed normal vital signs, guarding and tenderness in the right lower quadrant. White blood cell count was elevated (21.100 10 9 cells/L) and C reactive protein was under 1 mg/dl. Urinalysis was normal. An upright abdominal X-ray (Figure 1) showed a normal intestinal gas pattern without pneumoperitoneum. On ultrasonographic examination, the appendix could not be visualized, and there was some free fluid in the right iliac fossa. No other abnormality was noted. The patient proceeded to an operation with the initial diagnosis of appendicitis. At laparotomy, visualization of appendix was

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Congenital anomalies and variations should be kept in mind when evaluating diseases in the pediatric patient group. A 12 years old girl presented with findings of acut abdomen. Clinical and laboratory data were consistent with acute pancreatitis. Imaging findings showed a peristaltic cystic tissue with a thick wall and central lumen in the head of the pancreas. In the operation, it was shown that this cystic lesion was associated with the accessory pancreatic duct and had no duodenal connection. In the pathology report, the presence of duodenal intestinal tissue compatible with a duplication cyst located in the head of the pancreas was proven. By sharing this rare case, keeping in mind the underlying congenital anomalies in any pathology in children and emphasizing the importance of ultrasonographic dynamic real-time examination in abdominal imaging.