Case report: living donor liver transplantation for giant hepatic hemangioma using a right lobe graft without the middle hepatic vein.
Hepatic hemangioma patients with Kasabach-Merritt syndrome have reportedly been cured by liver transplantation. However, liver transplantation as a potential cure for a stable patient without Kasabach-Merritt syndrome remains debatable. We report the case of a 27-year-old female patient with a giant hepatic hemangioma. The hemangioma measured 50×40×25 cm in size and weighed 15 kg, which is the largest and heaviest hemangioma reported in the literature. The patient showed jaundice, ascites, anemia, and appetite loss; but no disseminated intravascular coagulation was observed through laboratory findings. We successfully operated using a right lobe graft without the middle hepatic vein from a 55-year-old donor. At the long-term follow-up, the patient experienced two acute rejections, which were confirmed by biopsy. However, the patient still survives with good graft function after 50 months.
Department of General Surgery, Shanghai First People Hospital, Medical School of Shanghai Jiaotong University, 85 Wu Jing Road, 200080 Shanghai, People's Republic of China. zhonglin1@medmail.com.cn.
Lin
L
Zhong
Tong-Yi
TY
Men
Gao-di
GD
Yang
Yan
Y
Gu
Guoqing
G
Chen
Tong-Hai
TH
Xing
Jun-Wei
JW
Fan
Zhi-Hai
ZH
Peng
D000328:Adult; D005260:Female; D006084:Graft Rejection / Q000209:etiology / Q000517:prevention & control; D006391:Hemangioma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006498:Hepatectomy; D006503:Hepatic Veins; D006801:Humans; D008107:Liver Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011379:Prognosis; D014057:Tomography, X-Ray Computed