title: [Acute hemolytic anemia after liver transplantation in one case].
abstract: OBJECTIVE
  To report 1 case of acute hemolytic anemia after liver transplantation because of ABO compatibility and therapeutic experience.
  
  
  METHODS
  The patient with liver cancer underwent orthotopic piggyback liver transplantation on September 2010 after radiofrequency ablation of the tumors. The donor and recipient ABO blood types were type O and type A, separately. Acute hemolytic anemia occurred at 10 days after transplantation and hemoglobin decreased to 56 g/L. The bone marrow showed active hyperplasia; and myeloid : erythroid was 0.52 : 1. The immunosuppressants were used and type O washed red blood cells were transfused immediately.
  
  
  RESULTS
  The general condition of the patient was improved; hemoglobin increased gradually and returned to 111 g/L at 34 days after liver transplantation. At 12 months of follow-up, hemoglobin was within normal range.
  
  
  CONCLUSIONS
  Using graft blood type washed red blood cells transfusion and immunosuppressants could be an effective therapeutic procedure in the patient with ABO compatibility graft when acute hemolytic anemia occurs.
authors.affiliation: Department of Hepatobiliary Surgery, Navy General Hospital, Beijing 100048, PR China.
authors.forename: Weigang
authors.initials: W
authors.lastname: Cao
authors.forename: Baoan
authors.initials: B
authors.lastname: Qiu
mesh_terms: D000208:Acute Disease; D000743:Anemia, Hemolytic / Q000209:etiology* / Q000276:immunology; D001787:Blood Group Incompatibility / Q000276:immunology; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects* / Q000276:immunology; D008297:Male; D008875:Middle Aged