"Síndrome pequeño para su tamaño", (small-for-size), como complicación de un trasplante hepático con donante vivo adulto relacionado
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Andrés Yarur [2] ; Lorena Castro [2] ; Roberto Segovia [2] ; Juan Pablo Roblero [2] ; Mario Uribe [1] ; Mario Ferrario [1] ; Erwin Buckel [1]
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[1] Clínica Las Condes
Clínica Las Condes
Santiago, Chile
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[2] Hospital San Borja-Arriarán Departamento de Medicina
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- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 137, Nº. 7, 2009, págs. 918-922
- Idioma: español
- Títulos paralelos:
- Small-for-size syndrome. Report of one case
- Enlaces
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Resumen
Although the use of cadaveric split or living donor liver transplantation is a valid option for liver transplants, they have several complications, being the "small-for-size syndrome" one of the most frequent. This entity is mainly due to the incapacity that the graft has to meet the blood drainage demands. We report a 61 year-old patient with sub-acute liver failure, transplanted with a partial liver graft that developed hyperbilirubinemia, ascites and liver function deterioration. A meso-caval shunt was performed, after which the ascites resolved, serum bilirubin normalized and the synthetic function of the liver improved. After one month, a follow-up CT seen showed the absence of blood flow in the shunt, possible due to the reduction of the hyper-perfusion of the liver. The clinical and biochemical condition of the patient continued improving despite the lack of flow through the shunt.
