Graft calcification caused by a torsion of the hepatic vein after a living-related donor liver transplantation

Ann Hepatol. 2017;16(1):164-168. doi: 10.5604/16652681.1226954.

Abstract

The torsion of vessels after liver transplantation rarely occurs. Likewise, calcification of a liver graft has seldom been reported. This report details a case which had torsion of the left hepatic vein on the seventh day after living-related donor liver transplantation. The torsion was reduced soon after re-exploration; however, congestion with partial necrosis of the graft occurred. On the follow-up imaging studies, some resolution of necrosis and graft regeneration were found, yet geographic calcification of the liver graft appeared.The patient died of pneumonia after 13 weeks, post-operation. The avoidance such torsion of vessels is necessary and important.

Publication types

  • Case Reports

MeSH terms

  • Allografts
  • Calcinosis / diagnostic imaging
  • Calcinosis / etiology*
  • Computed Tomography Angiography
  • Fatal Outcome
  • Hepatic Veins / diagnostic imaging
  • Hepatic Veins / surgery*
  • Humans
  • Liver Transplantation / adverse effects*
  • Living Donors*
  • Male
  • Middle Aged
  • Necrosis
  • Phlebography / methods
  • Reoperation
  • Time Factors
  • Torsion Abnormality / diagnostic imaging
  • Torsion Abnormality / etiology*
  • Torsion Abnormality / surgery
  • Vascular Diseases / diagnostic imaging
  • Vascular Diseases / etiology*
  • Vascular Diseases / surgery