The vast majority of postoperative bleeding complications in patients will occur in the first week and will not be seen in the ED. More likely is gastrointestinal bleeding, which should be managed in the usual fashion but may signal graft dysfunction and be accompanied by profound hypoglycemia and progressive coagulopathy. 3 Portal hypertension is reversed by liver transplantation and gastrointestinal (GI) bleeding from varices postoperatively may be indicative of portal vein thrombosis. Another contributing factor that may predispose patients to GI bleeding is high-dose steroids. Cytomegalovirus (CMV), herpes simplex virus (HSV), and candidal infection can also lead to significant bleeding.
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