Original scientific paper
Orthotopic Liver Retransplantation – Case Report
Nikica Daraboš
Leonardo Patrlj
Branislav Kocman
Ivan Vladić
Stipislav Jadrijević
Maša Jasprica
Abstract
We report a case of orthotopic liver retransplantation (OLRT) in a patient who was
suffering from rejection and graft failure after orthotopic liver transplantation (OLT).
The patient was a 32-year old female who had diagnosed liver lesion – hepatic cirrhosis.
Within two months, with presented condition as a terminal stage of her disease, she underwent
the OLT and immunosuppressive postoperative management. Two months after
the OLT, in the one-week period, the patient underwent two new operations because
of obstructive icterus due to fulminant cholangitis and subhepatic abscess. In spite of
this operative and conservative treatment the patient’s condition did not improve. Because
of graft failure due to bile duct necrosis, she underwent an ORLT operation and
her condition is satisfactory, till now. We confirmed that the overall impact of retransplatation
persists because patients undergoing elective retransplatation have significantly
better prognosis than those requiring an emergency operation.
Keywords
liver transplantation; rejection; graft failure; liver retransplantation
Hrčak ID:
28162
URI
Publication date:
15.12.2003.
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