Korean J Hepatobiliary Pancreat Surg.  2014 Aug;18(3):94-96. 10.14701/kjhbps.2014.18.3.94.

Deceased donor liver transplantation performed one week after small bowel resection for complicated umbilical hernia: a case report

• Kwon HJ
• Chun JM
• Kim SG
• Kim HK
• Huh S
• Hwang YJ

• KMID: 1802221
• DOI: http://doi.org/10.14701/kjhbps.2014.18.3.94

Abstract

Emergent abdominal surgery in cirrhotic patients with ascites can result in dismal postoperative outcomes such as sepsis and hepatic failure. In the present case, small bowel resection followed by anastomosis by the hand-sewn method was performed for small bowel strangulation caused by an umbilical hernia; deceased donor liver transplantation was performed one week after the bowel resection because of deterioration of hepatic function. To the best of our knowledge, this is the first case of liver transplantation performed at only one week after small bowel resection; and although we obtained a good result, the optimal time to perform liver transplantation in this situation requires further evaluation.

Keyword

Liver transplantation; Small bowel strangulation; Umbilical hernia

MeSH Terms

Ascites
Hernia, Umbilical*
Humans
Liver Failure
Liver Transplantation*
Sepsis
Tissue Donors*

Figure

• 

  Fig. 1 Contrast-enhanced abdominal computed tomography scans of the patient showing large amount of ascites and incarcerated small bowel in the umbilical hernia. Axial view (A) and Coronal view (B).

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  Fig. 2 Contrast-enhanced abdominal computed tomography scans of the recipient at 1 month after deceased donor liver transplantation. A 4 cm-sized low attenuation fluid collection is present beneath the diaphragm.

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