Diagnosis and differentiation of rejection after liver transplantation: report of 5 cases

作     者：Jia-Wei Chen, Da-Zhi Chen and Zhao-Rui Yang Shanghai, China Department of Pathology, First Affiliated Hospital, Shanghai Jiaotong University, Shanghai 200080, China Department of Surgery, Beijing Chaoyang Hospital, Beijing 100020, China 

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.