[Small-for-size syndrome. Report of one case].
Although the use of cadaveric split or living donor liver transplantation is a valid option for liver transplants, they have several complications, being the "small-for-size syndrome" one of the most frequent. This entity is mainly due to the incapacity that the graft has to meet the blood drainage demands. We report a 61 year-old patient with sub-acute liver failure, transplanted with a partial liver graft that developed hyperbilirubinemia, ascites and liver function deterioration. A meso-caval shunt was performed, after which the ascites resolved, serum bilirubin normalized and the synthetic function of the liver improved. After one month, a follow-up CT seen showed the absence of blood flow in the shunt, possible due to the reduction of the hyper-perfusion of the liver. The clinical and biochemical condition of the patient continued improving despite the lack of flow through the shunt.
Departamento de Medicina, Hospital San Borja-Arriarán, Santiago de Chile.
Andrés
A
Yarur
Lorena
L
Castro
Roberto
R
Segovia
Juan Pablo
JP
Roblero
Mario
M
Uribe
Mario
M
Ferrario
Erwin
E
Buckel
D000714:Anastomosis, Surgical / Q000379:methods; D006503:Hepatic Veins / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006932:Hyperbilirubinemia / Q000209:etiology / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow / Q000502:physiology; D013577:Syndrome