Open AccessSeronegative fibrosing cholestatic hepatitis С after liver retransplantation for unresectable neuroendocrine tumor liver metastases
Author(s) -
С. Э. Восканян,
В. Е. Сюткин,
М. В. Шабалин,
А. И. Артемьев,
И. Ю. Колышев,
А. Н. Башков,
А М Борбат,
К. К. Губарев,
М. В. Попов,
А. П. Мальцева
Publication year - 2020
Publication title -
transplantologiâ
Language(s) - English
Resource type - Journals
eISSN - 2542-0909
pISSN - 2074-0506
DOI - 10.23873/2074-0506-2020-12-4-319-331
Subject(s) - medicine , liver transplantation , hepatitis , gastroenterology , cancer , transplantation , pathology
We present an uncommon case of liver graft dysfunction caused by seronegative hepatitis C-related fibrosing cholestatic hepatitis after cadaver liver transplantation for unresectable liver metastases of neuroendocrine small intestine cancer followed by living relation donor liver fragment retransplantation for primary graft nonfunction. Early postoperative period was complicated by hepatic artery thrombosis, cerebral hemorrhage, acute cellular rejection, bilateral polysegmental pneumonia, bleeding into neck soft tissues, severe surgical site infection, and sepsis. Anticoagulant therapy, as well as the absence of Hepatitis C Virus antibodies made difficult early diagnostics of fibrosing cholestatic hepatitis. A present-day antiviral therapy produced a complete clinical and virological response. At control examination performed at 240 days after surgery, there were neither signs of cancer progression no graft dysfunction. Liver transplantation in that case was an example of radical and effective treatment method for unresectable liver metastases of neuroendocrine small intestine cancer. Timely diagnosis and proper treatment of fibrosing cholestatic hepatitis made it possible to save the liver graft and patient's life.