title: Emergency liver transplant in patient with Child-Pugh class C cirrhosis and strangulated umbilical hernia.
abstract: The authors report the case of a patient who presented with small bowel obstruction while awaiting liver transplant for Child-Pugh class C cirrhosis. He underwent emergency liver transplant with resection of the small bowel after the obstruction did not improve with conservative management. The authors believe this is the first case of successful emergency liver transplant with resection of the small bowel in a patient with decompensated Child-Pugh class C liver cirrhosis and strangulated umbilical hernia. This case suggests the possibility of improved outcomes of emergency hernia repair in patients with liver cirrhosis when small bowel resection is combined with liver transplant.
authors.affiliation: Center for Liver and Biliary Surgery at Indraprastha Apollo Hospital in New Delhi, India.
authors.forename: Abhideep
authors.initials: A
authors.lastname: Chaudhary
authors.forename: Sachin
authors.initials: S
authors.lastname: Daga
authors.forename: Neerav
authors.initials: N
authors.lastname: Goyal
authors.forename: Vasudevan Karisangal
authors.initials: VK
authors.lastname: Ramaswamy
authors.forename: Shaleen
authors.initials: S
authors.lastname: Agarwal
authors.forename: Shishir
authors.initials: S
authors.lastname: Pareek
authors.forename: Ramdip
authors.initials: R
authors.lastname: Ray
authors.forename: Manav
authors.initials: M
authors.lastname: Wadhawan
authors.forename: Subash
authors.initials: S
authors.lastname: Gupta
mesh_terms: D015897:Comorbidity; D013505:Digestive System Surgical Procedures; D004638:Emergency Treatment / Q000379:methods*; D006554:Hernia, Umbilical / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000453:epidemiology / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome