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Two-stage liver transplant for ruptured hepatic adenoma:A case report

World Journal of Hepatology 2019年第2期11卷 242-249页

作者： Marc Salhanick Malcolm P MacConmara Mark R Pedersen Lafaine Grant Christine S Hwang Justin R Parekh Division of Vascular Surgery Department of Surgerythe University of Texas Southwestern Medical Center Division of Surgical Transplantation Department of Surgerythe University of Texas Southwestern Medical Center Division of Digestive and Liver Diseases Department of Internal Medicinethe University of Texas Southwestern Medical Center

BACKGROUND Only one case of liver transplantation for hepatic adenoma has previously been reported for patients with rupture and uncontrolled *** present the case of a massive ruptured hepatic adenoma with persistent hemorrhagic shock and toxic liver syndrome which resulted in a two-stage liver *** is the first case of a two-stage liver transplantation performed for a ruptured hepatic *** SUMMARY A 23 years old African American female with a history of pre-diabetes and oral contraceptive presented to an outside facility complaining of right-sided chest pain and emesis for one *** was found to be in hemorrhagic shock due to a massive ruptured hepatic hepatic *** underwent repeated embolizations with interventional radiology with ongoing hemorrhage and the development of renal failure,hepatic failure,and hemodynamic instability,known as toxic liver *** the setting of uncontrolled hemorrhage and toxic liver syndrome,a hepatectomy with porto-caval anastomosis was performed with liver transplantation 15 h *** tolerated the anhepatic stage well,and has done well over one year *** When toxic liver syndrome is recognized,liver transplantation with or withouthepatectomy should be considered before the patient becomes unstable.

关键词： Hepatic adenoma Toxic liver syndrome Two-stage liver transplantation Hepatectomy ruptured adenoma Case report

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