Fulminant hepatic failure after simultaneous kidney-pancreas transplantation: a case report

We describe an unusual case of hyperacute hepatic failure following general anesthesia in a patient receiving a simultaneous kidney-pancreas transplant. Despite an aggressive evaluation of structural, immunological, viral, and toxicological causes, a definitive cause could not be elucidated. The pat...

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Detalles Bibliográficos
Autores principales: Moss, Jimmy L., Brown, Benjamin W., Pai, Sher-Lu, Torp, Klaus D., Aniskevich, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Clinical Information
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391750/
https://www.ncbi.nlm.nih.gov/pubmed/29929812
http://dx.doi.org/10.1016/j.bjane.2018.01.017
Descripción
Sumario:We describe an unusual case of hyperacute hepatic failure following general anesthesia in a patient receiving a simultaneous kidney-pancreas transplant. Despite an aggressive evaluation of structural, immunological, viral, and toxicological causes, a definitive cause could not be elucidated. The patient required a liver transplant and suffered a protracted hospital course. We discuss the potential causes of fulminant hepatic failure and the perioperative anesthesia management of her subsequent liver transplantation.

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