09 November 2018 : Case report
Living Donor Liver Transplant as Rescue Surgery for a Patient with Hepatocellular Carcinoma Who Underwent Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS)
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatmentEduardo de Souza Martins Fernandes12ABCDEFG*, Felipe Pedreira Tavares de Mello1ABDFG, Ronaldo Oliveira Andrade1ABFG, Camila Liberato Girao1ABFG, Leandro Savattone Pimentel1ABFG, Camilla Cesar1ABFG, Claudia Cristina Sousa1ABG, Anderson Brito-Azevedo1ABG, Samanta Teixeira Basto1ABG, Orlando Jorge Martins Torres3ABCDEFG
Am J Case Rep 2018; 19:1338-1341
BACKGROUND: The associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is an important tool to induce fast liver hypertrophy. The degree of hepatic fibrosis/cirrhosis in patients with HCC negatively impacts their health, and the risk of liver failure is always present. In these cases, liver transplantation may be necessary as a rescue procedure. We present the case of a patient with HCC who underwent ALPPS and developed liver failure. A living donor liver transplant was performed as a rescue procedure.
CASE REPORT: A 49-year-old man with chronic hepatitis B without cirrhosis underwent computed tomography, which revealed an expansive lesion in the right lobe of his liver that was diagnosed as hepatocellular carcinoma. Liver resection was indicated and liver cirrhosis was observed with high portal pressure after transection. The treatment strategy was switched from right hepatectomy to ALPPS. The patient developed severe liver dysfunction and liver transplantation was indicated. His postoperative course was uneventful and 3 months after the procedure the patient was without complications.
CONCLUSIONS: Living donor liver transplantation may be necessary as a rescue procedure for patients who underwent ALPPS and develop liver dysfunction.
Keywords: Hepatectomy, Liver Cirrhosis, Alcoholic, Liver Failure, Acute, Liver Transplantation
11 August 2022 : Case reportA 32-Year-Old Man with Persistent Olfactory Dysfunction Following COVID-19 Whose Recovery Was Evaluated by ...
Am J Case Rep In Press; DOI: 10.12659/AJCR.936496
09 August 2022 : Case reportA Case of Segmental Arterial Mediolysis of Multiple Visceral Arteries Following Anti-COVID-19 Vaccination: ...
Am J Case Rep In Press; DOI: 10.12659/AJCR.937505
29 July 2022 : Case reportPosterior Myocardial Infarction in a 45-Year-Old Javanese Woman with a 1-Month History of COVID-19-Related ...
Am J Case Rep In Press; DOI: 10.12659/AJCR.937105
17 Aug 2022 : Case reportMusical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936537
16 Aug 2022 : Case reportConcurrent Bell’s Palsy and Facial Pain Improving with Multimodal Chiropractic Therapy: A Case Report and L...
Am J Case Rep In Press; DOI: 10.12659/AJCR.937511
16 Aug 2022 : Case reportCoronary Artery Stent Dislodgement and Loss in the Bloodstream: A Case Report and Management Options
Am J Case Rep In Press; DOI: 10.12659/AJCR.937598
Most Viewed Current Articles
13 Jul 2022 : Case reportWhistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound
Am J Case Rep 2022; 23:e936441
23 Feb 2022 : Case reportPenile Necrosis Associated with Local Intravenous Injection of Cocaine
Am J Case Rep 2022; 23:e935250
06 Dec 2021 : Case reportLipedema Can Be Treated Non-Surgically: A Report of 5 Cases
Am J Case Rep 2021; 22:e934406