| A routine liver transplantation in a patient with situs inversus: a case report and an overview of the literature. | |
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MedLine Citation:
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PMID: 16640519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Liver transplantation (LT) in an adult with situs inversus (SI) is extremely rare and requires precise pre-operative management. A 48-yr-old male with SI suffering from alcoholic liver cirrhosis underwent LT at our institution in March 2003. Pre-operatively, liver anatomy was determined by CT scan, three-dimensional liver reconstruction and angiography. LT was performed using the Belghiti technique with side-to-side cavo-caval anastomosis, transplanting a graft from a donor with normal anatomy. Post-operatively, the patient recovered without major complications, except an epileptic event because of a central pontine myelinolysis, and he was discharged on the 25th post-operative day. Three months after surgery, the T-drain placed intra-operatively into the donor bile duct was removed; transplant perfusion and function were stable with an actual follow-up period of 24 months. LT in patients with SI is feasible. Pre-operative imaging with three-dimensional reconstruction is a beneficial tool for operation planning in patients with rare anatomic variations. |
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Authors:
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Moritz N Wente; Matthias Thorn; Boris Radeleff; Genevieve Dei-Anane; Arianeb Mehrabi; Peter Sauer; Markus W Büchler; Jan Schmidt; Thomas W Kraus; Peter Schemmer |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Clinical transplantation Volume: 20 ISSN: 0902-0063 ISO Abbreviation: Clin Transplant Publication Date: 2006 Mar-Apr |
Date Detail:
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Created Date: 2006-04-27 Completed Date: 2006-10-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710240 Medline TA: Clin Transplant Country: Denmark |
Other Details:
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Languages: eng Pagination: 151-5 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Heidelberg, Heidelberg, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Hepatectomy
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methods Hepatic Encephalopathy / surgery Humans Liver Cirrhosis, Alcoholic / complications, surgery Liver Transplantation / methods* Male Middle Aged Situs Inversus / surgery* Treatment Outcome |
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