Diagnosis and differentiation of rejection after liver transplantation: report of 5 cases
Diagnosis and differentiation of rejection after liver transplantation: report of 5 cases作者机构:Department of Pathology First Affiliated Hospital Shanghai Jiaotong University Shanghai 200080 China. jiaweichen2000@***
出 版 物:《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志(英文版))
年 卷 期:2005年第4卷第2期
页 面:182-184页
学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题:liver transplantation rejection differentiation
摘 要:BACKGROUND: The most common complications after liver transplantation are acute and chronic rejection. Al- though special changes can be found clinically and patho- logically in both of them, sometimes other complications such as preservation injury, recurrent disease ( HBV) and hepatic artery thrombosis should be differentiated from them. METHODS: Five patients with various complications after liver transplantation were synthetically analyzed according to their clinical information, laboratory tests and liver biop- sy findings so as to find out the clinical rules and the histo- logical features. RESULTS: Special changes and diagnostic standards were found clinically and pathologically in both acute and chro- nic rejection. Other complications such as fibrosing choles- tatic hepatitis and hepatic artery thrombosis also had then- own pathological features. Evaluation of donor liver should be done before liver transplantation. CONCLUSION: It is very important to understand and master the diagnostic standards of rejection and the major points for its differentiation.