"Síndrome pequeño para su tamaño", (small-for-size), como complicación de un trasplante hepático con donante vivo adulto relacionado / Small-for-size syndrome: report of one case
Rev. méd. Chile
; 137(7): 918-922, jul. 2009. ilus, tab
Article
em Es
| LILACS
| ID: lil-527131
Biblioteca responsável:
BR1.1
ABSTRACT
Although the use of cadaveric split or living donor liver transplantation is a valid option for liver transplants, they have several complications, being the "small-for-size syndrome" one of the most frequent. This entity is mainly due to the incapacity that the graft has to meet the blood drainage demands. We report a 61 year-old patient with sub-acute liver failure, transplanted with a partial liver graft that developed hyperbilirubinemia, ascites and liver function deterioration. A meso-caval shunt was performed, after which the ascites resolved, serum bilirubin normalized and the synthetic function of the liver improved. After one month, a follow-up CT seen showed the absence of blood flow in the shunt, possible due to the reduction of the hyper-perfusion of the liver. The clinical and biochemical condition of the patient continued improving despite the lack of flow through the shunt.
Palavras-chave
Texto completo:
1
Base de dados:
LILACS
Assunto principal:
Transplante de Fígado
/
Veias Hepáticas
/
Hiperbilirrubinemia
Idioma:
Es
Ano de publicação:
2009
Tipo de documento:
Article