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Subcapsular hematoma after right‐lobe living‐donor liver transplantation
Author(s) -
Kasahara Mureo,
Kozaki Koichi,
Yoshida Toru,
Yamamoto Hidekazu,
Ogawa Kohei,
Ogura Yasuhiro,
Tanaka Koichi
Publication year - 2004
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-004-0889-4
Subject(s) - medicine , surgery , hematoma , transplantation , liver transplantation , cirrhosis , lobe , radiology , pathology
Because right‐lobe living‐donor liver transplantation was introduced in adult‐to‐adult liver transplantation to mitigate the problems of small‐for‐size grafts, some technical controversies have been reported. This report describes a case of graft subcapsular hematoma due to parenchymal injury. A 53‐year‐old woman underwent a right‐lobe living‐donor liver transplantation for acute‐on‐chronic liver failure due to primary biliary cirrhosis. A huge subcapsular hematoma was discovered by routine Doppler echogram examination on the first posttransplantation day. Relaparotomy findings revealed that rotation of the graft for the hemostasis procedure during the transplant operation had induced a compression injury to the graft by the xiphoid process. It was speculated that a small laceration in the graft parenchyma led to the major subcapsular hematoma. This experience suggests that the graft liver must be handled with special care to prevent potential mechanical injury.