title: Orthotopic liver retransplantation--case report.
abstract: We report a case of orthotopic liver retransplantation (OLRT) in a patient who was suffering from rejection and graft failure after orthotopic liver transplantation (OLT). The patient was a 32-year old female who had diagnosed liver lesion--hepatic cirrhosis. Within two months, with presented condition as a terminal stage of her disease, she underwent the OLT and immunosuppressive postoperative management. Two months after the OLT, in the one-week period, the patient underwent two new operations because of obstructive icterus due to fulminant cholangitis and subhepatic abscess. In spite of this operative and conservative treatment the patient's condition did not improve. Because of graft failure due to bile duct necrosis, she underwent an ORLT operation and her condition is satisfactory, till now. We confirmed that the overall impact of retransplatation persists because patients undergoing elective retransplatation have significantly better prognosis than those requiring an emergency operation.
authors.affiliation: Department of General Surgery, General Hospital Varazdin, Varazdin, Croatia.
authors.forename: Nikica
authors.initials: N
authors.lastname: Darabos
authors.forename: Leonardo
authors.initials: L
authors.lastname: Patrlj
authors.forename: Branislav
authors.initials: B
authors.lastname: Kocman
authors.forename: Ivan
authors.initials: I
authors.lastname: Vladić
authors.forename: Stipislav
authors.initials: S
authors.lastname: Jadrijević
authors.forename: Masa
authors.initials: M
authors.lastname: Jasprica
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation