Skip to main content
Top
Published in: Abdominal Radiology 3/2005

01-06-2005

Hepatofugal portal flow due to acute cellular rejection

Authors: Y. Kyoden, Y. Sugawara, Y. Matsui, Y. Kishi, N. Akamatsu, M. Makuuchi

Published in: Abdominal Radiology | Issue 3/2005

Login to get access

Abstract

We describe a case of living donor liver transplantation with hepatofugal portal flow caused by acute cellular rejection. The reversed portal flow was corrected by splenectomy and ligation of the residual collateral veins. Hepatofugal flow causes ischemic damage to the graft, which does not normalize spontaneously. In this particular case, meticulous Doppler ultrasound examination and prompt response to reversed portal flow salvaged the graft.
Literature
1.
go back to reference Takayama, T, Makuuchi, M, Kubota, K, et al. 2000Living-related transplantation of left liver plus caudate lobeJ Am Coll Surg190635638CrossRefPubMed Takayama, T, Makuuchi, M, Kubota, K,  et al. 2000Living-related transplantation of left liver plus caudate lobeJ Am Coll Surg190635638CrossRefPubMed
2.
go back to reference Urata, K, Kawasaki, S, Matsunami, H, et al. 1995Calculation of child and adult standard liver volume for liver transplantationHepatology2113171321CrossRefPubMed Urata, K, Kawasaki, S, Matsunami, H,  et al. 1995Calculation of child and adult standard liver volume for liver transplantationHepatology2113171321CrossRefPubMed
3.
go back to reference Sugawara, Y, Makuuchi, M, Kaneko, J, et al. 2002Correlation between optimal tacrolimus doses and the graft weight in living donor liver transplantationClin Transpl16102106CrossRef Sugawara, Y, Makuuchi, M, Kaneko, J,  et al. 2002Correlation between optimal tacrolimus doses and the graft weight in living donor liver transplantationClin Transpl16102106CrossRef
4.
go back to reference Handengue, A, Lebrec, D, Moreau, R, et al. 1993Persistence of systemic and splanchnic hyperkinetic circulation in liver transplantation patientsHepatology17175178CrossRefPubMed Handengue, A, Lebrec, D, Moreau, R,  et al. 1993Persistence of systemic and splanchnic hyperkinetic circulation in liver transplantation patientsHepatology17175178CrossRefPubMed
5.
go back to reference DeCarlis, L, Favero, E, Rondinara, G, et al. 1992The role of spontaneous portosystemic shunts in the course of orthotopic liver transplantationTranspl Int5914CrossRefPubMed DeCarlis, L, Favero, E, Rondinara, G,  et al. 1992The role of spontaneous portosystemic shunts in the course of orthotopic liver transplantationTranspl Int5914CrossRefPubMed
6.
go back to reference Sugimoto, H, Kaneko, T, Marui, Y, et al. 2001Reversal of portal flow after acute rejection in living-donor liver transplantationJ Hepatobiliary Pancreat Surg8573576CrossRefPubMed Sugimoto, H, Kaneko, T, Marui, Y,  et al. 2001Reversal of portal flow after acute rejection in living-donor liver transplantationJ Hepatobiliary Pancreat Surg8573576CrossRefPubMed
7.
go back to reference Cescon, M, Sugawara, Y, Takayama, T, et al. 2001Role of splenectomy in living donor transplantation for adultsHepatogastroenterology49721723 Cescon, M, Sugawara, Y, Takayama, T,  et al. 2001Role of splenectomy in living donor transplantation for adultsHepatogastroenterology49721723
8.
go back to reference Cescon, M, Sugawara, Y, Kaneko, J, et al. 2001Restoration of portal vein flow by splenorenal shunt ligation and splenectomy after living-related liver transplantationHepatogastroenterology4814531454PubMed Cescon, M, Sugawara, Y, Kaneko, J,  et al. 2001Restoration of portal vein flow by splenorenal shunt ligation and splenectomy after living-related liver transplantationHepatogastroenterology4814531454PubMed
9.
go back to reference Reding, R, Gras, J, Sokal, E, et al. 2003Steroid-free liver transplantation in childrenLancet36220682070CrossRefPubMed Reding, R, Gras, J, Sokal, E,  et al. 2003Steroid-free liver transplantation in childrenLancet36220682070CrossRefPubMed
10.
go back to reference Aw, MM, Taylor, RM, Verma, A, et al. 2003Basiliximab for the treatment of steroid-resistant rejection in pediatric liver transplanted recipients: a preliminary experienceTransplantation75796799CrossRefPubMed Aw, MM, Taylor, RM, Verma, A,  et al. 2003Basiliximab for the treatment of steroid-resistant rejection in pediatric liver transplanted recipients: a preliminary experienceTransplantation75796799CrossRefPubMed
Metadata
Title
Hepatofugal portal flow due to acute cellular rejection
Authors
Y. Kyoden
Y. Sugawara
Y. Matsui
Y. Kishi
N. Akamatsu
M. Makuuchi
Publication date
01-06-2005
Publisher
Springer-Verlag
Published in
Abdominal Radiology / Issue 3/2005
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-004-0269-1

Other articles of this Issue 3/2005

Abdominal Radiology 3/2005 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.