Fatal duodenal hemorrhage complicated after living donor liver transplantation: case report
| Autor: | Long-Bin Jeng, Chiung-Ju Lee, Kin Shing Poon, Yung-Fang Chen, Yung-Jen Ho, Hsueh-Chou Lai |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Percutaneous medicine.medical_treatment Liver transplantation Pseudoaneurysm Hepatitis B Chronic Postoperative Complications medicine Humans Embolization Transplantation medicine.diagnostic_test Rupture Spontaneous business.industry Hematemesis Middle Aged medicine.disease Surgery Endoscopy Liver Transplantation Radiography Treatment Outcome Shock (circulatory) Duodenal Ulcer Angiography medicine.symptom business Aneurysm False |
| Zdroj: | Transplantation proceedings. 40(8) |
| ISSN: | 0041-1345 |
| Popis: | Fatal hemorrhage caused by duodenal ulcer is rarely seen after liver transplantation. We report a case with penetrating duodenal ulcer resulting in massive gastrointestinal tract hemorrhage from a ruptured pseudoaneurysm of the hepatic artery. The patient, a 54-year-old man, had undergone living donor liver transplantation with a graft from his son. Massive hematelnesis occurred 7 days after transplantation. Endoscopy revealed a penetrating duodenal ulcer. Repeated episodes of hemorrhage resulted in shock. Angiography showed a ruptured pseudoaneurysm of the proper hepatic artery. Embolization controlled the bleeding; however, the grafted liver became ischemic. The patient subsequently developed ischemic cholangitis, which was treated with percutaneous transhepatic cholangial drainage. Repeat transplantation was performed 30 months later. The patient was doing well at 10-month follow-up. |
| Databáze: | OpenAIRE |
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