Living Donor Liver Transplantation for Congenital Portosystemic Shunt Presenting With Hyperinsulinemic Hypoglycemia.

Autor: Kadohisa M; Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.; Department of Pediatric Surgery, Kyoto University Hospital, Kyoto, Japan., Okamoto T; Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.; Department of Pediatric Surgery, Kyoto University Hospital, Kyoto, Japan., Iwanaga K; Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan., Yamamoto M; Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.; Department of Pediatric Surgery, Kyoto University Hospital, Kyoto, Japan., Uebayashi EY; Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.; Department of Pediatric Surgery, Kyoto University Hospital, Kyoto, Japan., Ogawa E; Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.; Department of Pediatric Surgery, Kyoto University Hospital, Kyoto, Japan., Okajima H; Department of Pediatric Surgery, Kanazawa Medical University, Kanazawa, Japan., Hatano E; Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.; Department of Pediatric Surgery, Kyoto University Hospital, Kyoto, Japan.; Department of Hepato-Biliary-Pancreatic Surgery and Transplantation, Kyoto University Hospital, Kyoto, Japan.
Jazyk: angličtina
Zdroj: Pediatric transplantation [Pediatr Transplant] 2024 Nov; Vol. 28 (7), pp. e14871.
DOI: 10.1111/petr.14871
Abstrakt: Background: A congenital portosystemic shunt (CPSS) is defined as abnormal vascular communications between the portal vein and the systemic vein. Encephalopathy, hepatopulmonary syndrome, and portopulmonary hypertension are manifestations in patients with CPSS. Hyperinsulinemic hypoglycemia is also one of the manifestations of CPSS. Hyperinsulinemic hypoglycemia secondary to CPSS is caused by a lack of hepatic first-pass elimination of insulin, which is secreted from pancreatic beta cells.
Case Presentation: A 7-month-old boy had hypergalactosemia detected by newborn mass screening. Enhanced abdominal computed tomography showed the absence of the portal vein trunk and extrahepatic portosystemic communication between the superior mesenteric vein and the inferior vena cava. He had suffered from uncontrollable hyperinsulinemic hypoglycemia under protein and lactose restriction. We performed living donor liver transplantation (LDLT) using a left lateral segment graft from his father. The postoperative course was uneventful and the hypoglycemic attacks disappeared.
Conclusion: We believe that uncontrolled hyperinsulinemic hypoglycemia secondary to CPSS is an indication of LDLT.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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