Liver transplantation for severe hepatic trauma: Experience from a single center

Spiros G. Delis, Andreas Bakoyiannis, Gennaro Selvaggi, Debbie Weppler, David Levi, Andreas G. Tzakis

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Liver transplantation has been reported in the literature as an extreme intervention in cases of severe and complicated hepatic trauma. The main indications for liver transplant in such cases were uncontrollable bleeding and postoperative hepatic insufficiency. We here describe four cases of orthotopic liver transplantation after penetrating or blunt liver trauma. The indications were liver failure, extended liver necrosis, liver gangrene and multiple episodes of gastrointestinal bleeding related to portal hypertension, respectively. One patient died due to postoperative cerebral edema. The other three patients recovered well and remain on immunosuppression. Liver transplantation should be considered as a saving procedure in severe hepatic trauma, when all other treatment modalities fail.

Original languageEnglish (US)
Pages (from-to)1641-1644
Number of pages4
JournalWorld Journal of Gastroenterology
Volume15
Issue number13
DOIs
StatePublished - Apr 7 2009

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Keywords

  • Hepatic coma
  • Hepatic trauma
  • Liver injury
  • Orthotopic liver transplantation
  • Severe liver trauma

ASJC Scopus subject areas

  • Gastroenterology

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