Living donor liver transplantation for an adult patient with situs inversus totalis.

World J Gastroenterol

Center for Liver Transplantation and Hepatobiliary Surgery, Ajou University Hospital, Ajou University School of Medicine, San 5, Wonchon-Dong, Youngtong-Ku, Suwon 443-749, South Korea.

Published: May 2010

This recipient with situs inversus totalis (SIT) was a 60-year-old female who had hepatitis B-related end-stage liver disease. Preoperative donor evaluation showed that the right posterior section satisfied graft volume and was space-fitting in the recipient hepatic fossa when it was rotated 180 degrees. The operation and postoperative course progressed satisfactorily. Three weeks after living donor liver transplantation (LDLT), the graft function was disturbed by compression of bottom-placed right hepatic vein. This was treated with a vascular stent and subsequently the graft function was normalized. The present case shows that LDLT for patients with SIT using a right posterior section graft is feasible.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2868228PMC
http://dx.doi.org/10.3748/wjg.v16.i18.2311DOI Listing

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