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Severe late acute allograft rejection in a child after living‐related auxiliary partial orthotopic liver transplantation for ornithine transcarbamylase deficiency
Author(s) -
Komatsu H,
Inui A,
Fujisawa T,
Sogo T,
Miyagawa Y,
Inui M,
Uemoto S,
Inomata Y,
Tanaka K
Publication year - 1999
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1034/j.1399-0012.1999.130404.x
Subject(s) - medicine , ornithine transcarbamylase deficiency , liver transplantation , immunosuppression , ornithine transcarbamylase , transplantation , gastroenterology , ornithine carbamoyltransferase , orthotopic liver transplantation , urea cycle , immunology , ornithine , biochemistry , chemistry , amino acid , arginine
Auxiliary liver transplantation (ALT) is known to correct liver‐based metabolic disorders. However, it remains unclear whether the presence of a native liver influences the long‐term prognosis of ALT for metabolic diseases. We reported on a 4‐yr‐old girl who had undergone living‐related auxiliary partial orthotopic liver transplantation (APOLT) for ornithine transcarbamylase deficiency and experienced severe late acute rejection 18 months after liver transplantation, during weaning of immunosuppressive agents. Results of histological analysis of the graft indicated very severe acute rejection (rejection activity index, 9/9), and computed tomography revealed graft liver atrophy. These observations suggest the possibility that severe rejection might occur in APOLT, especially during weaning of immunosuppression.