Salvage liver transplantation for hepatic gas gangrene.
Hepatic gas gangrene is an uncommon situation mainly due to bacterial infection by Clostridium perfringens. It remains a life-threatening condition associated with a high mortality rate. Quick diagnosis and aggressive therapy including liver transplantation should be proposed to improve the outcome. This report describes a rare case of hepatic gas gangrene on native liver, secondary to iatrogenic hepatic artery thrombosis and instrumental biliary tree infection, which was successfully treated by liver transplantation.
Aix-Marseille Univ 13284 Marseille, & Assistance-Publique Hôpitaux de Marseille, Department of Digestive Surgery and Liver Transplantation, Hopital de La Conception, 13005 Marseille, France. david.birnbaum10@gmail.com
David Jérémie
DJ
Birnbaum
Emilie
E
Grégoire
Jean
J
Hardwigsen
Yves Patrice
YP
Le Treut
D000783:Aneurysm / Q000150:complications; D001660:Biliary Tract Diseases / Q000150:complications; D003016:Clostridium perfringens; D005738:Gas Gangrene / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D006499:Hepatic Artery; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016031:Liver Transplantation; D016879:Salvage Therapy; D013927:Thrombosis / Q000150:complications