Combined liver-kidney transplantation in a patient with acute liver failure coexisting with acute renal failure.
Acute renal failure (ARF) is common among patients with liver failure awaiting liver transplantation due to the increased waiting time for available liver grafts and extended survival from improved intensive care. The role of combined liver and kidney transplantation (LKT) in this situation is quite controversial. A case of acute liver failure (ALF) complicated with ARF is reported. Non-A, non-B hepatitis was the cause of ALF. He had hemodialysis for one month before transplantation. Combined LKT was performed because of prolonged pre-transplant hemodialysis and the potential of irreversible renal failure. Severe impairment of both native kidneys was confirmed by renal scan at 6 months after transplantation. Combined LKT may be needed for patients with acute liver failure complicated with prolonged acute renal failure.
Sobhonslidsuk
Abhasnee
A
Department of Medicine, Ramathibodi Hospital, 270 Praram 6 Rd, Rajathevee, Bangkok 10400, Thailand. teasb@mahidol.ac.th
Phakdeekitcharoen
Bunyong
B
Leelaudomlipi
Surasak
S
Pootrakul
Piyanuch
P
Viengteeravat
Somchai
S
Sornmayura
Pattana
P
Sriphojanart
Suthat
S
D058186:Acute Kidney Injury / Q000150:complications / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation; D017114:Liver Failure, Acute / Q000150:complications / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged