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BMC Surgery
Published in: BMC Surgery 1/2010

Open Access 01-12-2010 | Case report

Acute paranoid psychosis as sole clinical presentation of hepatic artery thrombosis after living donor liver transplantation

Authors: Armin D Goralczyk, Volker Meier, Giuliano Ramadori, Aiman Obed, Thomas Lorf

Published in: BMC Surgery | Issue 1/2010

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Abstract

Background

Hepatic artery thrombosis is a devastating complication after orthotopic liver transplantation often requiring revascularization or re-transplantation. It is associated with considerably increased morbidity and mortality. Acute cognitive dysfunction such as delirium or acute psychosis may occur after major surgery and may be associated with the advent of surgical complications.

Case presentation

Here we describe a case of hepatic artery thrombosis after living-donor liver transplantation which was not preceded by signs of liver failure but rather by an episode of acute psychosis. After re-transplantation the patient recovered without sequelae.

Conclusion

This case highlights the need to remain cautious when psychiatric disorders occur in patients after liver transplantation. The diagnostic procedures should not be restricted to medical or neurological causes of psychosis alone but should also focus vascular complications related to orthotopic liver transplantation.
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Metadata
Title
Acute paranoid psychosis as sole clinical presentation of hepatic artery thrombosis after living donor liver transplantation
Authors
Armin D Goralczyk
Volker Meier
Giuliano Ramadori
Aiman Obed
Thomas Lorf
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2010
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/1471-2482-10-7

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