title: Splenic abscess after splenic artery ligation in living donor liver transplantation: a case report.
abstract: Although recent developments in living donor liver transplantation (LDLT) yield promising results, a size mismatch between the weights of the graft and the recipient remains a significant problem. Recipients of LDLT may have hyperdynamic splanchnic circulations resulting in graft hyperperfusion and increased portal vein flow leading to small-for-size syndrome. Splenic artery ligation is one of the least invasive measures to prevent occurrence of this syndrome. Despite its potentially devastating consequences, splenic infarction following splenic artery ligation has received little attention to date. Herein we have reported a patient who developed a splenic abscess due to a splenic infarction following splenic artery ligation during LDLT.
authors.affiliation: Department of Organ Transplantation, Istanbul Science University, Istanbul, Turkey. denizbalci1@yahoo.com
authors.forename: D
authors.initials: D
authors.lastname: Balci
authors.forename: B
authors.initials: B
authors.lastname: Taner
authors.forename: M
authors.initials: M
authors.lastname: Dayangac
authors.forename: B
authors.initials: B
authors.lastname: Akin
authors.forename: O
authors.initials: O
authors.lastname: Yaprak
authors.forename: C
authors.initials: C
authors.lastname: Duran
authors.forename: S
authors.initials: S
authors.lastname: Uraz
authors.forename: S
authors.initials: S
authors.lastname: Hayzaran
authors.forename: O
authors.initials: O
authors.lastname: Ayanoglu
authors.forename: R
authors.initials: R
authors.lastname: Killi
authors.forename: H
authors.initials: H
authors.lastname: Senturk
authors.forename: Y
authors.initials: Y
authors.lastname: Yuzer
authors.forename: Y
authors.initials: Y
authors.lastname: Tokat
mesh_terms: D000038:Abscess / Q000175:diagnosis*; D004359:Drug Therapy, Combination; D006526:Hepatitis C / Q000150:complications / Q000601:surgery; D006530:Hepatorenal Syndrome / Q000150:complications; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008103:Liver Cirrhosis / Q000601:surgery / Q000821:virology; D017093:Liver Failure / Q000601:surgery* / Q000821:virology; D016031:Liver Transplantation / Q000009:adverse effects* / Q000276:immunology*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D013157:Splenic Artery / Q000601:surgery*; D013158:Splenic Diseases / Q000175:diagnosis*; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents