Use of the breast implant for liver graft malposition.
Transplantation of a small liver into a large patient may cause problems with correct reperfusion of the graft because of torsion of the hepatic pedicle, leading to malfunction of the transplanted organ. We describe the case of a 60-year-old man with alcoholic cirrhosis and hepatitis B virus who received a small-sized liver graft. Owing to the lack of adequate reperfusion of the transplanted organ arising from pedicular kinking caused by disparate sizes, a breast implant was placed behind the graft as a means of support, thereby resolving the problem. The use of prosthetic materials for the correct placement of grafts with size incongruity is also discussed, and the literature is reviewed.
Mera
S
S
Department of General and Digestive Surgery, Unit of Hepato-pancreato-biliary Surgery and Liver Transplantation, Carlos Haya Regional University Hospital, Málaga, Spain.
Santoyo
J
J
Suárez
M A
MA
Bondía
J A
JA
Cabello
A J
AJ
Jiménez
M
M
Ribeiro
M
M
Fernández-Aguilar
J L
JL
Pérez-Daga
J A
JA
de La Fuente
A
A
D018427:Breast Implants; D006509:Hepatitis B / Q000601:surgery; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery / Q000821:virology; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged