title: Liver transplantation for sclerosing cholangitis in a polytraumatized patient.
abstract: BACKGROUND
  Following a motorcycle accident, a 30-year-old male with multiple traumas-including liver rupture, traumatic fractures, cerebral hemorrhage, hepatic hematoma and respiratory failure-was referred to a university medical center. After initial stabilization, the patient developed pneumonia, acute kidney failure requiring intermittent hemodialysis, superinfection of the hepatic hematoma and systemic bacterial infection with multiple drug-resistant bacteria. The patient developed acute liver failure 8 weeks after the initial trauma.
  
  
  METHODS
  Laboratory investigations, Doppler ultrasound, CT, ultrasound, angiography, endoscopic retrograde cholangiography, liver biopsy, bacteriology and X-ray.
  
  
  METHODS
  Sclerosing cholangitis in a critically ill patient.
  
  
  RESULTS
  Orthotopic liver transplantation.
authors.affiliation: Department of Surgery, Regensburg University Hospital, Franz-Josef-Strauss-Allee 11, Regensburg, Germany. andreas.schnitzbauer@klinik.uni-regensburg.de
authors.forename: Andreas A
authors.initials: AA
authors.lastname: Schnitzbauer
authors.forename: Tung-Yu
authors.initials: TY
authors.lastname: Tsui
authors.forename: Gabriele
authors.initials: G
authors.lastname: Kirchner
authors.forename: Marcus N
authors.initials: MN
authors.lastname: Scherer
authors.forename: Thomas
authors.initials: T
authors.lastname: Bein
authors.forename: Hans J
authors.initials: HJ
authors.lastname: Schlitt
authors.forename: Aiman
authors.initials: A
authors.lastname: Obed
mesh_terms: D000328:Adult; D015209:Cholangitis, Sclerosing / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D017093:Liver Failure / Q000150:complications* / Q000209:etiology*; D016031:Liver Transplantation; D008297:Male; D009104:Multiple Trauma / Q000150:complications*; D016896:Treatment Outcome