[Small-for-size syndrome. Report of one case].

Abstract:

:Although the use of cadaveric split or living donor liver transplantation is a valid option for liver transplants, they have several complications, being the "small-for-size syndrome" one of the most frequent. This entity is mainly due to the incapacity that the graft has to meet the blood drainage demands. We report a 61 year-old patient with sub-acute liver failure, transplanted with a partial liver graft that developed hyperbilirubinemia, ascites and liver function deterioration. A meso-caval shunt was performed, after which the ascites resolved, serum bilirubin normalized and the synthetic function of the liver improved. After one month, a follow-up CT seen showed the absence of blood flow in the shunt, possible due to the reduction of the hyper-perfusion of the liver. The clinical and biochemical condition of the patient continued improving despite the lack of flow through the shunt.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Yarur A,Castro L,Segovia R,Roblero JP,Uribe M,Ferrario M,Buckel E

doi

/S0034-98872009000700009

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

918-22

issue

7

eissn

0034-9887

issn

0717-6163

pii

S0034-98872009000700009

journal_volume

137

pub_type

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