1. Case report: living donor liver transplantation for giant hepatic hemangioma using a right lobe graft without the middle hepatic vein.
- Author
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Lin Zhong, Tong-Yi Men, Gao-di Yang, Yan Gu, Guoqing Chen, Tong-Hai Xing, Jun-Wei Fan, and Zhi-Hai Peng
- Subjects
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ORGAN donors , *LIVER transplantation , *HEMANGIOMAS , *HEPATIC veins , *KASABACH-Merritt syndrome , *JAUNDICE , *ASCITES , *APPETITE loss , *THERAPEUTICS - Abstract
Hepatic hemangioma patients with Kasabach-Merritt syndrome have reportedly been cured by liver transplantation. However, liver transplantation as a potential cure for a stable patient without Kasabach-Merritt syndrome remains debatable. We report the case of a 27-year-old female patient with a giant hepatic hemangioma. The hemangioma measured 50 x 40 x 25 cm in size and weighed 15 kg, which is the largest and heaviest hemangioma reported in the literature. The patient showed jaundice, ascites, anemia, and appetite loss; but no disseminated intravascular coagulation was observed through laboratory findings. We successfully operated using a right lobe graft without the middle hepatic vein from a 55-yearold donor. At the long-term follow-up, the patient experienced two acute rejections, which were confirmed by biopsy. However, the patient still survives with good graft function after 50 months. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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