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2017, Number 1

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Ann Hepatol 2017; 16 (1)

Graft Calcification Caused by a Torsion of the Hepatic Vein after a Living-Related Donor Liver Transplantation

Jeng Kuo-Shyang, Huang Chun-Chieh, Lin Cheng-Kuan, Lin Chien-Chu, Chen Kuo-Hsin

Language: English
References: 19
Page: 160-163
PDF size: 240.69 Kb.


ABSTRACT

The torsion of vessels after liver transplantation rarely occurs. Likewise, calcification of a liver graft has seldom been reported. This report details a case which had torsion of the left hepatic vein on the seventh day after living-related donor liver transplantation. The torsion was reduced soon after re-exploration; however, congestion with partial necrosis of the graft occurred. On the follow-up imaging studies, some resolution of necrosis and graft regeneration were found, yet geographic calcification of the liver graft appeared. The patient died of pneumonia after 13 weeks, post-operation. The avoidance such torsion of vessels is necessary and important.


REFERENCES

  1. Wahab MA, Shehta A, Hamed H, Elshobary M, Salah T, Sultan AM, Fathy O, et al. Hepatic venous outflow obstruction after living donor liver transplantation managed with ectopic placement of a foley catheter: A case report. Int J Surg Case Rep 2015; 10: 65-8.2. Williams AM, Hundley JC, Daily MF, Shah MB, Lee JT, Gedaly R. Thrombectomy and cavocavostomy for inferior vena cava thrombosis and torsion after piggyback liver transplantation. Liver Transpl 2012; 18: 993-4.

  2. Egawa H, Inomata Y, Uemoto S, Asonuma K, Kiuchi T, Okajima H, Yamaoka Y, et al. Hepatic vein reconstruction in 152 living-related donor liver transplantation patients. Surgery 1997; 121: 250-7.

  3. Tzimasa GN, Afsharb M, Emadalic A, Chevet E, Vali H, Metrakos PP. Correlation of cell necrosis and tissue calcification with ischemia/reperfusion injury after liver transplantation. Transplant Proc 2004; 36: 1766-8.

  4. Emond JC, Heffron TG, Whitington PF, Broelsch CE. Reconstruction of the hepatic vein in reduced size hepatic transplantation. Surg Gynecol Obstet 1993; 176: 11-7.

  5. Takayama T, Makuuchi M, Kawarasaki H, Kawasaki S, Matsunami H, Hashikura Y, Iwanaka T. Venacavoplasty to overcome outflow block in living related liver transplantation. Transplantation 1994; 58: 116-8.

  6. Park EA, Lee JM, Kim SH, Lee MW, Han JK, Choi BI, Lee JY, et al. Hepatic venous congestion after right-lobe living-donor liver transplantation: the added value of delayed-phase imaging on CT. J Comput Assist Tomogr 2007; 31: 181-7.

  7. Inomata Y, Tanaka K, Egawa H, Uemoto S, Kiuchi T, Satomura K, Uyama S, et al. Application of a tissue expander for stabilizing graft position in living-related liver transplantation. Clin Transplant 1997; 11: 56-9.

  8. Ko GY, Sung KB, Yoon HK, Kim KR, Kim JH, Gwon DI, Lee SG. Early post-transplant hepatic venous outflow obstruction: Long-term efficacy of primary stent placement. Liver Transplant 2008; 14: 1505-11.

  9. Tanimoto Y, Tashiro H, Itamoto T, Toyota N, Kohashi T, Amano H, Ohdan H, et al. Hepatic venous outflow obstruction after right lateral sector living donor liver transplantation, treated by insertion of an expandable metallic stent. J Hepatobiliary Pancreat Surg 2008; 15: 228-31.

  10. Wang CC, Concejero AM, Yong CC, Chen YS, Wang SH, Lin CC, Lin YW, et al. Improving hepatic and portal venous flows using tissue expander and Foley catheter in liver transplantation. Clin Transplant 2006; 20: 81-4.

  11. Kim BS, Kim TK, Jung DJ, Chen YS, Wang SH, Lin CC, Liu YW, et al. Vascular complications after living related liver transplantation: evaluation with gadolinium-enhanced threedimensional MR angiography. Am J Roentgenol 2003; 181: 467-74.

  12. Shibayama Y, Urano T, Asaka S, Hashimoto K, Nakata K. Pathogenesis of centrilobular necrosis following congestion of the liver. J Gastroenterol Hepatol 1993; 8: 530-4.

  13. Turlin B, Slapak GI, Hayllar KM, Heaton N, Williams R, Portmann B. Centrilobular necrosis after orthotopic liver transplantation: a longitudinal clinicopathologic study in 71 patients. Liver Transpl Surg 1995; 1: 285-9.

  14. Shibuya A, Unuma T, Sugimoto T, Yamakado M, Tagawa H, Tagawa K, Tanaka S, et al. Diffuse hepatic calcification as a sequela to shock liver. Gastroenterology 1985; 89: 196-201.

  15. Teifke JP, Reimann I, Schirrmeier H. Subacute liver necrosis after experimental infection with rabbit haemorrhagic disease virus (RHDV). J Comp Pathol 2002; 126: 231-4.

  16. Trump BF, Berezesky IK, Laiho KU, Osornio AR, Mergner WJ, Smith MW. The role of calcium in cell injury: A review. Scan Electron Microsc 1980; 2: 437-62, 492.

  17. Seehofer D, Stockmann M, Schirmeier A, Nüssler AK, Cho SY, Rayes N, Koch M, et al. Intra-abdominal bacterial infections significantly alter regeneration and function of the liver in a rat model of major hepatectomy. Langenbecks Arch Surg 2007; 392: 273-84.

  18. Asaka S, Shibayama Y, Nakata K. Pathogenesis of focal and random hepatocellular necrosis in endotoxemia: microscopic observation in vivo. Liver 1996; 16: 183-7.

  19. Shibayama Y, Asaka S, Nakata K. Hepatic failure after partial hepatectomy due to synergism between endotoxaemia and congestion of the liver. Exp Toxicol Pathol 1993; 45: 249-52.




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