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Deceased donor liver transplantation performed one week after small bowel resection for complicated umbilical hernia: a case report.

Kwon HJ, Chun JM, Kim SG, Kim HK, Huh S, Hwang YJ - Korean J Hepatobiliary Pancreat Surg (2014)

Bottom Line: Emergent abdominal surgery in cirrhotic patients with ascites can result in dismal postoperative outcomes such as sepsis and hepatic failure.In the present case, small bowel resection followed by anastomosis by the hand-sewn method was performed for small bowel strangulation caused by an umbilical hernia; deceased donor liver transplantation was performed one week after the bowel resection because of deterioration of hepatic function.To the best of our knowledge, this is the first case of liver transplantation performed at only one week after small bowel resection; and although we obtained a good result, the optimal time to perform liver transplantation in this situation requires further evaluation.

View Article: PubMed Central - PubMed

Affiliation: Hepatobiliary-Pancreatic Center, Kyungpook National University Medical Center, Korea.

ABSTRACT
Emergent abdominal surgery in cirrhotic patients with ascites can result in dismal postoperative outcomes such as sepsis and hepatic failure. In the present case, small bowel resection followed by anastomosis by the hand-sewn method was performed for small bowel strangulation caused by an umbilical hernia; deceased donor liver transplantation was performed one week after the bowel resection because of deterioration of hepatic function. To the best of our knowledge, this is the first case of liver transplantation performed at only one week after small bowel resection; and although we obtained a good result, the optimal time to perform liver transplantation in this situation requires further evaluation.

No MeSH data available.


Related in: MedlinePlus

Contrast-enhanced abdominal computed tomography scans of the recipient at 1 month after deceased donor liver transplantation. A 4 cm-sized low attenuation fluid collection is present beneath the diaphragm.
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Figure 2: Contrast-enhanced abdominal computed tomography scans of the recipient at 1 month after deceased donor liver transplantation. A 4 cm-sized low attenuation fluid collection is present beneath the diaphragm.

Mentions: Fortunately, at one week postoperatively, a whole liver transplant from a brain-dead donor was allocated to the patient and we performed DDLT. Following transplantation, the patient had favorable graft function and is living in a satisfactory condition four years later (Fig. 2).


Deceased donor liver transplantation performed one week after small bowel resection for complicated umbilical hernia: a case report.

Kwon HJ, Chun JM, Kim SG, Kim HK, Huh S, Hwang YJ - Korean J Hepatobiliary Pancreat Surg (2014)

Contrast-enhanced abdominal computed tomography scans of the recipient at 1 month after deceased donor liver transplantation. A 4 cm-sized low attenuation fluid collection is present beneath the diaphragm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492321&req=5

Figure 2: Contrast-enhanced abdominal computed tomography scans of the recipient at 1 month after deceased donor liver transplantation. A 4 cm-sized low attenuation fluid collection is present beneath the diaphragm.
Mentions: Fortunately, at one week postoperatively, a whole liver transplant from a brain-dead donor was allocated to the patient and we performed DDLT. Following transplantation, the patient had favorable graft function and is living in a satisfactory condition four years later (Fig. 2).

Bottom Line: Emergent abdominal surgery in cirrhotic patients with ascites can result in dismal postoperative outcomes such as sepsis and hepatic failure.In the present case, small bowel resection followed by anastomosis by the hand-sewn method was performed for small bowel strangulation caused by an umbilical hernia; deceased donor liver transplantation was performed one week after the bowel resection because of deterioration of hepatic function.To the best of our knowledge, this is the first case of liver transplantation performed at only one week after small bowel resection; and although we obtained a good result, the optimal time to perform liver transplantation in this situation requires further evaluation.

View Article: PubMed Central - PubMed

Affiliation: Hepatobiliary-Pancreatic Center, Kyungpook National University Medical Center, Korea.

ABSTRACT
Emergent abdominal surgery in cirrhotic patients with ascites can result in dismal postoperative outcomes such as sepsis and hepatic failure. In the present case, small bowel resection followed by anastomosis by the hand-sewn method was performed for small bowel strangulation caused by an umbilical hernia; deceased donor liver transplantation was performed one week after the bowel resection because of deterioration of hepatic function. To the best of our knowledge, this is the first case of liver transplantation performed at only one week after small bowel resection; and although we obtained a good result, the optimal time to perform liver transplantation in this situation requires further evaluation.

No MeSH data available.


Related in: MedlinePlus