title: Modified Multivisceral Transplant After Acute Abdominal Trauma.
abstract: A 50-year-old man sustained blunt abdominal trauma in a motor vehicle accident. He underwent exploratory laparotomy on the day of trauma, and severe bleeding from the base of the small bowel mesentery was controlled by mass ligation and through-and-through suturing. After transfer to our center, repeat exploratory laparotomy showed ischemic small intestine, ischemic right colon, and severe pancreatic trauma. The severely injured organs were excised including the entire small bowel, pancreas, spleen, stomach, and right hemicolon. The next day, a modified multivisceral transplant was performed including stomach, pancreaticoduodenal complex, and small bowel transplant. Postoperative complications included an intra-abdominal collection that was drained percutaneously with ultrasonographic guidance and severe rejection that was treated with anti-thymocyte globulin. In summary, for select patients who have severe abdominal trauma may be treated with acute multivisceral transplant.
authors.affiliation: From the Shiraz Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Saman
authors.initials: S
authors.lastname: Nikeghbalian
authors.forename: Ahmed
authors.initials: A
authors.lastname: Alaa Eldin
authors.forename: Mohsen
authors.initials: M
authors.lastname: Aliakbarian
authors.forename: Kourosh
authors.initials: K
authors.lastname: Kazemi
authors.forename: Alireza
authors.initials: A
authors.lastname: Shamsaeefar
authors.forename: Siavash
authors.initials: S
authors.lastname: Gholami
authors.forename: Seyed Ali
authors.initials: SA
authors.lastname: Malekhosseini
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000063:Accidents, Traffic; D004386:Duodenum / Q000637:transplantation*; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016035:Pancreas Transplantation / Q000009:adverse effects; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D013270:Stomach / Q000637:transplantation*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*