title: Emergency liver transplantation after Kasai portoenterostomy.
abstract: Three patients with stable liver function after Kasai portoenterostomy developed acute liver failure secondary to liver necrosis. Doppler ultrasound at presentation revealed reversed diastolic hepatic arterial blood flow. Two patients survived after urgent liver transplantation. Liver necrosis should be suspected in children with chronic liver disease presenting with fever and rapidly deteriorating liver function.
authors.affiliation: Liver Transplant Surgical Service, King's College Hospital, London.
authors.forename: M T
authors.initials: MT
authors.lastname: Corbally
authors.forename: N
authors.initials: N
authors.lastname: Heaton
authors.forename: M
authors.initials: M
authors.lastname: Rela
authors.forename: G
authors.initials: G
authors.lastname: Mieli-Vergani
authors.forename: B
authors.initials: B
authors.lastname: Portmann
authors.forename: A
authors.initials: A
authors.lastname: Mowat
authors.forename: R
authors.initials: R
authors.lastname: Williams
authors.forename: K C
authors.initials: KC
authors.lastname: Tan
mesh_terms: D004630:Emergencies; D005260:Female; D006801:Humans; D007223:Infant; D008099:Liver / Q000473:pathology*; D017114:Liver Failure, Acute / Q000209:etiology / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D009336:Necrosis; D011171:Portoenterostomy, Hepatic; D011183:Postoperative Complications / Q000601:surgery*