Liver transplantation for sclerosing cholangitis in a polytraumatized patient.
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.
Schnitzbauer
Andreas A
AA
Department of Surgery, Regensburg University Hospital, Franz-Josef-Strauss-Allee 11, Regensburg, Germany. andreas.schnitzbauer@klinik.uni-regensburg.de
Tsui
Tung-Yu
TY
Kirchner
Gabriele
G
Scherer
Marcus N
MN
Bein
Thomas
T
Schlitt
Hans J
HJ
Obed
Aiman
A
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