Fulminant hepatic failure after simultaneous kidney-pancreas transplantation: a case report

被引：2
|
作者：
Moss, Jimmy L. [1 ]
Brown, Benjamin W. [1 ]
Pai, Sher-Lu [1 ]
Torp, Klaus D. [1 ]
Aniskevich, Stephen [1 ]
机构：
[1] Mayo Clin Florida, Div Hepatobiliary & Transplant Anesthesia, Dept Anesthesiol, Jacksonville, FL 32224 USA
来源：
REVISTA BRASILEIRA DE ANESTESIOLOGIA | 2018年 / 68卷 / 05期
关键词：
Liver failure; Kidney-pancreas transplant; Volatile agents; Liver transplant; Drug reaction; Isoflurane toxicity; Adverse drug reaction; Inhalational anesthesia; ACUTE LIVER-FAILURE; MANAGEMENT;
D O I：
10.1016/j.bjan.2018.01.013
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We describe an unusual case of hyperacute hepatic failure following general anesthesia in a patient receiving a simultaneous kidney-pancreas transplant. Despite an aggressive evaluation of structural, immunological, viral, and toxicological causes, a definitive cause could not be elucidated. The patient required a liver transplant and suffered a protracted hospital course. We discuss the potential causes of fulminant hepatic failure and the perioperative anesthesia management of her subsequent liver transplantation. (C) 2018 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.
引用
收藏
页码：535 / 538
页数：4
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