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篇名 Disruption of Hepatic Artery Anastomosis Secondary to Perforated Duodenal Ulcer and Rescued by Right Gastric Artery in Living Donor Liver Transplantation Recipient: Report of a Case
作者 Tsung-Han Wu, Ting-Jung Wu, Chung-Kan Tsao, Kuang-Tse Pan, Hong-Shiue Chou, Ming-Chin Yu, Wei-Chen Lee
卷期/出版年月 41卷3期 (2008/6)
頁次 93-98
摘要 Hepatic artery anastomosis complication following liver transplantation causes significant morbidity and mortality. The authors report the case of a living donor liver transplant (LDLT) recipient who had hepatic artery anastomosis disruption secondary to a perforated duodenal ulcer. Emergent laparotomy was performed successfully: simple closure of the perforated duodenal ulcer with an omentum patch was followed by re-vascularization of the donor hepatic artery using the recipient’s right gastric artery. The patient was uneventfully discharged one month after the operation. There was no late biliary complication due to the sequel of hepatic artery anastomosis disruption. Right gastric artery can be utilized to reconstruct hepatic artery successfully although its caliber is small.
關鍵詞 perforated duodenal ulcer, right gastric artery, living donor liver transplantation(LDLT)
分類 Case Report

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