Rapid progression of encephalopathy in a patient with hepatitis B infection.
The mortality rate of fulminant hepatic failure was high until liver transplantation was presented as a potential therapy. We encountered a patient with hyperacute fulminant hepatic failure due to hepatitis B virus infection. Living donor liver transplantation was planned but abandoned because her brain edema progressed too rapidly to complete the donor evaluation. The present case reveals the limitation of living donor liver transplantation as a treatment for hyperacute fulminant hepatic failure.
Takemura
Nobuyuki
N
Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan.
Sugawara
Yasuhiko
Y
Tamura
Sumihito
S
Kakeno
Junichi
J
Matsui
Yuichi
Y
Makuuchi
Masatoshi
M
D000328:Adult; D001929:Brain Edema / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006501:Hepatic Encephalopathy / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D006509:Hepatitis B / Q000150:complications*; D006801:Humans; D055815:Young Adult