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 journalArticlepeer-review

19 Scopus citations


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
Issue number13
StatePublished - Apr 7 2009


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

ASJC Scopus subject areas

  • Gastroenterology


Dive into the research topics of 'Liver transplantation for severe hepatic trauma: Experience from a single center'. Together they form a unique fingerprint.

Cite this