Intestinal perforation after combined liver-kidney transplantation for a case of congenital polycystic disease

查看全文 作　　者：[1]TaoPeng;Min-[1]HaoPeng;Le-[1]QunLi;Yao-[2]LiangDeng;Ding-[1]HuaYang;Bang-[1]YuLu;Xi-[1]GangChen;[1]YaGuo;K.ai-[1]YinXiao;[1]BinChen;[1]QinZhong;Min-[3]YiWei

机构地区：[1]DepartmentofHepatobiliarySurgery,FirstAffiliatedHospital,GuangxiMedicalUniversity,Nanning530021,GuangxiZhuangAutonomousRegion,China;[2]DepartmentofUrologySurgery,FirstAffiliatedHospital,GuangxiMedicalUniversity,Nanning530021,GuangxiZhuangAutonomousRegion,China;[3]DepartmentofPathology,FirstAffiliatedHospital,GuangxiMedicalUniversity,Nanning530021,GuangxiZhuangAutonomousRegion,China

出　　处：《World Journal of Gastroenterology》索引2004年第10卷第18期,共3页

摘　　要：AIM: To highlight the intestinal perforation (IP), an uncommon and catastrophic complication after combined liver-kidney transplantation.METHODS: Combined liver-kidney transplantation (LKTx) with left kidney excision and a cyst fenestration procedure on the right kidney were performed on a case of 46-year-old female with congenital polycystic disease (CPCD).RESULTS: Two sites of IP were noted 40-50 cm proximal to ileocecal area during emergent laparotomy 10 d postoperatively.Despite aggressive surgical and medical management,disease progressed toward a fatal outcome due to sepsis and multiple organ failure 11 d later.CONCLUSION: Long duration of operation without venovenous bypass, overdose of steroid together with postoperative volume excess may all contribute to the risk of idiopathic multiple IPs. Microbiology and pathology inspections suggested that the infected cyst of the fenestrated kidney might be one reason for the fatal intra-peritoneal infection. Thus for the CPCD patients who seem to be very susceptible to infectious complications, any sign of suspected renal-infection found before or during LKTx is indication for the excision of original kidney. And the intensity of immunosuppression therapy should be controlled cautiously. 关键词：肠穿孔肝肾移植先天性多囊病病例分析

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Intestinal perforation after combined liver-kidney transplantation for a case of congenital polycystic disease

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