Abstract
Only one case of liver transplantation for hepatic adenoma has previously been reported for patients with rupture and uncontrolled hemorrhage. We present the case of a massive ruptured hepatic adenoma with persistent hemorrhagic shock and toxic liver syndrome which resulted in a two-stage liver transplantation. This is the first case of a two-stage liver transplantation performed for a ruptured hepatic adenoma. 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 day. She was found to be in hemorrhagic shock due to a massive ruptured hepatic hepatic adenoma. She underwent repeated embolizations with interventional radiology with ongoing hemorrhage and the development of renal failure, hepatic failure, and hemodynamic instability, known as toxic liver syndrome. In the setting of uncontrolled hemorrhage and toxic liver syndrome, a hepatectomy with porto-caval anastomosis was performed with liver transplantation 15 h later. She tolerated the anhepatic stage well, and has done well over one year later. When toxic liver syndrome is recognized, liver transplantation with or without hepatectomy should be co...Continue Reading
References
Jul 1, 1993·Annals of Surgery·B RingeR Pichlmayr
Apr 30, 1999·Transplantation·K J OldhaferR Pichlmayr
Sep 1, 2000·The American Journal of Medicine·R K SeetoD C Rockey
Sep 6, 2000·Helicobacter·R H PhillipsJ J Powell
Jan 22, 2009·Obstetrics and Gynecology·Roberto SantambrogioEnrico Opocher
Oct 22, 2009·Clinical Transplantation·Roberto MontaltiGiorgio E Gerunda
Apr 2, 2010·Digestive Surgery·Volkert A L Huurman, Alexander F M Schaapherder
Jun 18, 2010·European Journal of Gastroenterology & Hepatology·Daniel MaozFranklin Grief
Oct 26, 2013·The Journal of Trauma and Acute Care Surgery·Alexander KaltenbornHarald Schrem
Aug 20, 2014·The American Journal of Gastroenterology·Jorge A MarreroK Rajender Reddy
Jan 7, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Marcelo Augusto Fontenelle RibeiroAlexandre Zanchenko Fonseca
Jan 26, 2016·International Journal of Surgery·Pietro AddeoPhilippe Bachellier
Feb 9, 2016·World Journal of Hepatology·Rebeca Sanabria MateosEmir Hoti
Nov 3, 2016·Therapeutic Advances in Gastroenterology·Maarten G ThomeerJan N IJzermans