Re-use of a liver allograft; an exceptional opportunity to enlarge the organ donor pool.
Liver allograft re-use is an exceptional way of enlarging the donor pool. We describe here a case of a re-used liver allograft, originating from an insulin-intoxicated donor and transplanted at first into a recipient presenting with hyperacute liver failure due to paracetamol intoxication. Because the original recipient developed an irreversible cerebral oedema, the allograft was re-implanted electively 55.5 h later into a patient with post-viral C cirrhosis and solitary hepatocarcinoma. Both donor and recipient operations were technically successful; liver function after the second use of the graft was normal.
Rubay
Raphaël
R
Department of Digestive Surgery, Cliniques Universitaires St-Luc/1400, Université Catholique de Louvain (UCL), Av. Hippocrate 10, 1200, Brussels, Belgium.
Wittebolle
Xavier
X
Ciccarelli
Olga
O
Roggen
Francine
F
Talpe
Stéphanie
S
Laterre
Pierre-François
PF
Reding
Raymond
R
Lerut
Jan
J
D000082:Acetaminophen / Q000506:poisoning; D018712:Analgesics, Non-Narcotic / Q000506:poisoning; D006801:Humans; D017114:Liver Failure, Acute / Q000139:chemically induced / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D009927:Tissue and Organ Procurement / Q000379:methods*; D014184:Transplantation, Homologous
D018712:Analgesics, Non-Narcotic; D000082:Acetaminophen