title: Hepatofugal portal flow due to acute cellular rejection.
abstract: We describe a case of living donor liver transplantation with hepatofugal portal flow caused by acute cellular rejection. The reversed portal flow was corrected by splenectomy and ligation of the residual collateral veins. Hepatofugal flow causes ischemic damage to the graft, which does not normalize spontaneously. In this particular case, meticulous Doppler ultrasound examination and prompt response to reversed portal flow salvaged the graft.
authors.affiliation: Artificial Organ and Transplantation Surgery Division, Department of Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kyoden
authors.forename: Y
authors.initials: Y
authors.lastname: Sugawara
authors.forename: Y
authors.initials: Y
authors.lastname: Matsui
authors.forename: Y
authors.initials: Y
authors.lastname: Kishi
authors.forename: N
authors.initials: N
authors.lastname: Akamatsu
authors.forename: M
authors.initials: M
authors.lastname: Makuuchi
mesh_terms: D000328:Adult; D003097:Collateral Circulation; D005260:Female; D006084:Graft Rejection / Q000503:physiopathology*; D006801:Humans; D016031:Liver Transplantation; D011169:Portal Vein / Q000503:physiopathology*; D012039:Regional Blood Flow; D013156:Splenectomy