title: Graft Failure From Hepatic Veno-Occlusive Disease After a Liver Transplant: A Case Report.
abstract: OBJECTIVE
  Hepatic veno-occlusive disease after liver transplant is rare but potentially fatal. Here, we describe a case of veno-occlusive disease occurring after a liver transplant patient, which resulted in graft failure.
  
  
  METHODS
  A 44-year-old woman developed severe ascites accompanied with jaundice, for 1 month after a liver transplant that could not be explicated by common complications. Veno-occlusive disease was diagnosed basing on clinical, pathologic, and radiologic findings. The definitive pathogenesis was difficult to determine. The patient could not show any response to medical therapy, and her deteriorated clinical condition developed to hepatic failure, which called for retransplant.
  
  
  CONCLUSIONS
  Veno-occlusive disease after a liver transplant can result in graft failure, and re-transplant may be the only alternative resource in critical case.
authors.affiliation: From the Division of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, School of Medicine, Zhejiang University, Zhejiang Province, Hangzhou 310003, China.
authors.forename: Tian
authors.initials: T
authors.lastname: Shen
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Tang
authors.forename: Hua
authors.initials: H
authors.lastname: Xiang
authors.forename: Shusen
authors.initials: S
authors.lastname: Zheng
mesh_terms: D000328:Adult; D001706:Biopsy; D000072226:Computed Tomography Angiography; D018450:Disease Progression; D005260:Female; D006085:Graft Survival; D006504:Hepatic Veno-Occlusive Disease / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D017093:Liver Failure / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D011172:Portography / Q000379:methods; D012086:Reoperation; D013997:Time Factors; D017211:Treatment Failure