Author/Authors :
Ince, V. Inonu University- Liver Transplantation Institute-Department of General Surgery, Turkey , Kayaalp, C. Inonu University- Liver Transplantation Institute-Department of General Surgery, Turkey , Otan, E. Inonu University- Liver Transplantation Institute-Department of General Surgery, Turkey , Ozdemir, F. Inonu University- Liver Transplantation Institute-Department of General Surgery, Turkey , Dirican, A. Inonu University- Liver Transplantation Institute-Department of General Surgery, Turkey , Toprak, H. I. Inonu University- Liver Transplantation Institute- Department of Anesthesiology, Turkey , Aydin, C. Inonu University- Liver Transplantation Institute-Department of General Surgery, Turkey , Ara, C. Inonu University- Liver Transplantation Institute-Department of General Surgery, Turkey , Yilmaz, S. Inonu University- Liver Transplantation Institute-Department of General Surgery, Turkey
Abstract :
Emergency liver transplantation (LT) for acute liver failure (ALF) is a life-saving treatment.
Occurrence of this situation in the same patient twice is very rare. Herein, we describe a patient
who underwent two emergency LTs for ALF, both from living donors. When she was 26 years
old, she underwent a right lobe living donor LT (LDLT) from her sister for ALF due to use of
herbal weight loss medications. The next 3 years were uneventful but another ALF developed
during a terminal stage pregnancy (37th week). Despite medical treatment, her liver functions
worsened, and the baby was delivered by caesarean section. The second time, her brother was
the donor and she recovered after the emergency right lobe re-LDLT. Both patient and baby
were well at the 2-month follow-up. As far as we know, there is no reported similar case, and we
concluded that LDLT is a paramount treatment option for both primary and secondary ALFs.
Keywords :
Liver failure , acute , Living donors , Transplantation
