[Small-for-size syndrome. Report of one case].

Abstract

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.

• Authors: Andrés Yarur, Lorena Castro, Roberto Segovia, Juan Pablo Roblero, Mario Uribe, Mario Ferrario, Erwin Buckel
• Journal: Revista medica de Chile (Rev Med Chil) Vol. 137 Issue 7 Pg. 918-22 (Jul 2009) ISSN: 0034-9887 [Print] Chile
• Vernacular Title: "Síndrome pequeño para su tamaño", (small-for-size), como complicación de un trasplante hepático con donante vivo adulto relacionado.
• PMID: 19802420 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Anastomosis, Surgical (methods)
• Hepatic Veins (physiopathology, surgery)
• Humans
• Hyperbilirubinemia (etiology, surgery)
• Liver Transplantation (adverse effects, methods)
• Male
• Middle Aged
• Regional Blood Flow (physiology)
• Syndrome