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Kniepeiss, D; Müller, H; Wagner, D; Iberer, F; Tscheliessnigg, KH.
Management of complications after varicoportal anastomosis in liver transplantation.
Wien Klin Wochenschr. 2011; 123(11-12):388-389 Doi: 10.1007/s00508-011-1589-0 (- Case Report)
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Leading authors Med Uni Graz
Kniepeiss Daniela
Co-authors Med Uni Graz
Iberer Florian
Müller Helmut
Tscheliessnigg Karlheinz
Wagner Doris
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Abstract:
The presence of portal vein thrombosis is a potential limitation for liver transplantation. An intraoperative diagnosis is linked to extensive surgical treatment and massive postoperative complications and mortality. We present a surgical less risky method for the treatment of intraoperatively diagnosed portal and mesenteric vein thrombosis that served as salvage therapy for a patient who underwent liver transplantation in our centre. Postoperative complications were ascites and renal failure. Persistent ascites required repeated paracentesis during the first month after liver transplantation but medical treatment sufficed thereafter. Moderate renal failure as defined by the K/DOQI-guidelines improved gradually and dialysis was never indicated. Six months after transplantation, the patient had normal liver function and adequate renal function.
Find related publications in this database (using NLM MeSH Indexing)
Anastomosis, Surgical -
Ascites - diagnosis
Ascites - therapy
Follow-Up Studies -
Hepatitis C, Chronic - surgery
Humans -
Intraoperative Complications - surgery
Liver Cirrhosis - surgery
Liver Function Tests -
Liver Transplantation -
Male -
Mesenteric Vascular Occlusion - surgery
Mesenteric Veins - surgery
Middle Aged -
Portal Vein - surgery
Postoperative Complications - diagnosis
Postoperative Complications - therapy
Renal Insufficiency - diagnosis
Renal Insufficiency - therapy
Varicose Veins - surgery
Venous Thrombosis - surgery

Find related publications in this database (Keywords)
Liver transplantation
portal vein thrombosis
intraoperative complication
ascites
renal failure
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