27 December 2023
: Case report 
Prolonged Anhepatic State as a Bridge to Retransplantation: A Challenging Case of a 35-Year-Old Male Liver Transplant Patient with a Temporary Portacaval Shunt
Management of emergency care
David Richer Araujo Coelho1ABEF*, Rogerio Oliveira da Luz1AE, Samanta Teixeira Basto2BE, Claudia Cristina Tavares de Sousa2E, Henry Pereira da Silva1E, Eduardo de Sousa Martins Fernandes2E, Anderson Brito-Azevedo2AEDOI: 10.12659/AJCR.941933
Am J Case Rep 2023; 24:e941933
Table 2. Laboratory progression after first liver transplantation.
| POD1 | POD2 | POD3 | POD4 | POD5 | POD6 | POD7 | POD8 | POD9 | |
|---|---|---|---|---|---|---|---|---|---|
| 7.5 | 7.2 | 4.5 | 7.5 | 7.1 | 6.9 | 7.8 | 7.4 | 7.1 | |
| 22 | 21 | 13.2 | 21.4 | 21.7 | 22 | 23.4 | 24 | 23.8 | |
| 5050 | 5100 | 4800 | 7500 | 8200 | 13 550 | 18 220 | 20 100 | 18 150 | |
| 2% | 3% | 5% | 5% | 4% | 10% | 12% | 13% | 10% | |
| 55 000 | 60 000 | 52 000 | 47 000 | 38 500 | 41 000 | 31 000 | 28 000 | 25 000 | |
| 0.1 | 0.3 | 0.2 | 0.5 | 1.2 | 4.5 | 8.4 | 9.6 | 7.5 | |
| 23.3 | 29.8 | 35 | 35.4 | 33.1 | 31.7 | 49.9 | 7.47 | 7.93 | |
| 0.6 | 1 | 0.9 | 1 | 0.4 | 1 | 1.7 | 0.5 | 0.6 | |
| 681 | 211.8 | 216.2 | 124.6 | 166 | 2100 | 3400 | 7880 | 9130 | |
| 342 | 214 | 224 | 179 | 212 | 1820 | 2165 | 2650 | 3190 | |
| 139 | 111 | 220 | 338 | 330 | 294 | 270 | 224 | 599 | |
| 99 | 121 | 407 | 916 | 1062 | 967 | 642 | 439 | 188 | |
| 7.1 | 3.6 | 4.6 | 6 | 7.8 | 10.4 | 21.2 | 24 | 18.3 | |
| 5.9 | 2.8 | 3.6 | 4.2 | 6.8 | 9.3 | 17.6 | 7.5 | 2.1 | |
| 7.1 | 7 | 7.5 | 7.1 | 7.2 | 7.3 | 7.4 | 7.5 | 7.4 | |
| 2.6 | 2.4 | 2.8 | 3 | 2.9 | 2.2 | 2.4 | 2.2 | 2.3 | |
| 1.4 | 1.2 | 1.7 | 2 | 2.5 | 4.4 | NC | 2 | 1.9 | |
| 14 | 17 | 20 | 20 | 19 | 27 | – | 21 | 19 | |
| 38 | 34 | 41 | 47 | 50 | 51 | – | 35 | 30 | |
| 141 | 140 | 138 | 141 | 140 | 142 | 145 | 142 | 138 | |
| 4.2 | 4.5 | 4.2 | 4.1 | 4 | 4.9 | 5.9 | 5.5 | 5.1 | |
| 2 | 2.1 | 2 | 2.4 | 2 | 1.9 | 2 | 2.1 | 2 | |
| 3 | 3.5 | 3.8 | 4 | 4.1 | 5 | 4.3 | 4.1 | 4 | |
| 3.9 | 4 | 4.1 | 3.9 | 3.8 | 3.7 | 3.5 | 4 | 4.1 | |
| 2 | 2.1 | 2.5 | 2.9 | 3 | 4.5 | 8 | 6.5 | 7 | |
| POD – postoperative day; Hb – hemoglobin (g/dL); Hct – hematocrit (%); WBC – white blood cells (WBC/mm); Bands – band cells (%); Plt – platelets (plt/mm); CRP – C-reactive protein (mg/dL); BUN – blood urea nitrogen (mg/dL); Cr – creatinine (mg/dL); AST – aspartate aminotransferase (IU/L); ALT – alanine aminotransferase (IU/L); ALP – alkaline phosphatase (IU/L); GGT – gamma-glutamyl transferase (IU/L); Tbil – total bilirubin (mg/dL); Dbil – direct bilirubin (mg/dL); TP – total protein (g/L); Alb – albumin (g/L); INR – international normalized ratio; NC – non-coagulable; PT – prothrombin time (s); aPTT – activated partial thromboplastin time (s); Na – sodium (mEq/dL); K – potassium (mEq/dL); MG – magnesium (mg/dL); P – phosphorus (mg/dL); iCa – ionic calcium (mg/dL); Lac – lactate (mg/dL). | |||||||||