Combined liver-kidney transplantation with delayed kidney implantation: A case report

被引：1

作者：

Bouari, Sarah ^{[1
]}

Polak, Wojciech G. ^{[1
]}

van de Wetering, Jacqueline ^{[2
]}

Metselaar, Herold J. ^{[3
]}

IJzermans, Jan N. M. ^{[1
]}

Minnee, Robert C. ^{[1
,4
]}

机构：

[1] Erasmus MC Univ, Dept Surg, Div HPB & Transplant Surg, Transplant Inst, Rotterdam, Netherlands

[2] Erasmus MC Univ, Dept Internal Med, Sect Nephrol & Transplantat, Transplant Inst, Rotterdam, Netherlands

[3] Erasmus MC Univ, Dept Gastroenterol & Hepatol, Transplant Inst, Rotterdam, Netherlands

[4] Dept Surg, Div HPB & Transplant Surg, Dr Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands

来源：

INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2023年 / 106卷

关键词：

Combined liver kidney transplantation; Delayed kidney implantation; Liver transplantation; Kidney transplantation; Case report;

D O I：

10.1016/j.ijscr.2023.108276

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction: In rare cases, patients require a combined liver-kidney transplant. However, the peri-and postoperative care of liver transplant recipients differs from kidney transplant recipients, which can lead to conflicts of interest. In the case of poor coagulation status and/or instable hemodynamics of the patient, liver transplantation, followed by delayed kidney transplantation can lead to better postoperative recovery. Presentation of case: In our case report, we present a 48-year old man with Alagille syndrome and IgA nephropathy with bilirubin-associated acute kidney injury, causing him to develop both end-stage liver and kidney disease. He underwent a combined liver-kidney transplant as the first patient in the Netherlands, in which the donor kidney was transplanted one day after the liver transplantation. One-year post-transplant patient is in good clinical condition, with normal liver function and an eGFR of 57 ml/min. Conclusion: Combined liver-kidney transplantation with delayed kidney implantation in a medical center with no previous experience with this technique is feasible and safe. This could be better for both the patient and the kidney graft.

引用

页数：3

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