[Orthotopic liver transplantation for polycystic liver disease with massive hepatomegaly].
METHODS
A 51-year-old man (126 kg, 192 cm) with massive hepatomegaly causing cardiopulmonary symptoms was referred to our transplant center 14 years after initial diagnosis of polycystic liver disease.


METHODS
Uneventful hepatectomy was followed by orthotopic liver transplantation using caval replacement. Donor liver came from a 73-year-old woman (extended criteria donor organ offer). A portocaval shunting was not established during transplantation although the explanted liver weighed 22 kg. 18 months after transplantation liver function is stable and the patient enjoys normal quality of life.


CONCLUSIONS
This case report demonstrates the value and success of transplantation for patients suffering from enormous hepatomegaly due to polycystic liver disease.
Universitätsklinikum Essen, Klinik für Allgemeinchirurgie, Viszeral- und Transplantationschirurgie, Essen, Deutschland.
N M
NM
Dreger
G M
GM
Kaiser
J W
JW
Treckmann
Z
Z
Mathé
T
T
Benkö
A
A
Paul
D003560:Cysts / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006529:Hepatomegaly / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008107:Liver Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome