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 3. Laboratory progression after second liver transplantation.
| POD1 | POD3 | POD5 | POD7 | POD9 | POD11 | POD13 | POD15 | POD17 | |
|---|---|---|---|---|---|---|---|---|---|
| 6.5 | 7.2 | 7.5 | 7.8 | 8.1 | 8.9 | 7.1 | 8.5 | 8.2 | |
| 18 | 22 | 22.3 | 24.5 | 27 | 27.1 | 24.5 | 24.9 | 25.1 | |
| 16 250 | 24 580 | 17 500 | 14 200 | 11 250 | 13 500 | 15 200 | 18 500 | 28 550 | |
| 5% | 12% | 11% | 8% | 4% | 5% | 7% | 10% | 12% | |
| 54 000 | 40 000 | 34 000 | 42 150 | 70 000 | 90 000 | 100 000 | 150 500 | 160 000 | |
| 5.4 | 12.5 | 10.2 | 7.5 | 5.1 | 5.5 | 7.6 | 8.9 | 14.1 | |
| 2.33 | 3.73 | 1.87 | 6.53 | 6.07 | 16.33 | 36.4 | 52.73 | 53.2 | |
| 0.5 | 0.8 | 0.7 | 0.9 | 0.8 | 1 | 1.2 | 1.7 | 1.7 | |
| 375 | 475 | 370 | 203 | 198 | 117 | 102 | 77 | 73 | |
| 591 | 397 | 308 | 301 | 245 | 174 | 123 | 105 | 94 | |
| 164 | 167 | 117 | 138 | 125 | 274 | 300 | 289 | 338 | |
| 129 | 61 | 49 | 55 | 91 | 104 | 236 | 254 | 278 | |
| 16 | 14.9 | 7.3 | 12.6 | 15.2 | 17.8 | 21.8 | 16.7 | 14.9 | |
| 7.3 | 11.1 | 5.1 | 10.7 | 11.7 | 14.8 | 20.1 | 7.3 | 11.1 | |
| 7 | 7.8 | 7.4 | 7.1 | 7.2 | 7.4 | 7.5 | 7.8 | 7.1 | |
| 2.8 | 3 | 3.1 | 3.1 | 2.8 | 2.5 | 2.7 | 2.2 | 2.1 | |
| 1.9 | 2 | 1.8 | 2.1 | 2.2 | 1.7 | 1.6 | 2 | 2.5 | |
| 10 | 11 | 14 | 17 | 21 | 15 | 17 | 20 | 21 | |
| 32 | 31 | 33 | 40 | 41 | 45 | 45 | 44 | 51 | |
| 138 | 137 | 140 | 141 | 139 | 138 | 140 | 141 | 139 | |
| 5.1 | 4.8 | 4.7 | 4.2 | 4 | 3.9 | 3.8 | 3.8 | 3.5 | |
| 2 | 2.1 | 1.8 | 1.9 | 1.7 | 1.8 | 2 | 2.1 | 2 | |
| 3.8 | 4 | 4.1 | 4.2 | 3.7 | 4 | 4.5 | 4.8 | 5 | |
| 3.5 | 3.7 | 3.7 | 3.8 | 3.9 | 3.7 | 3.6 | 3.8 | 3.5 | |
| 6 | 6.1 | 4 | 3.5 | 2.1 | 2 | 1.8 | 6 | 8.7 | |
| 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; 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). | |||||||||