Cystic liver infection after living donor liver transplantation: A case report

Kensuke Kudou, Mizuki Ninomiya, Tomohiro Iguchi, Norifumi Harimoto, Shinji Itoh, Noboru Harada, Kazuki Takeishi, Yo Ichi Yamashita, Tomoharu Yoshizumi, Yuji Soejima, Tetsuo Ikeda, Ken Shirabe, Yoshihiko Maehara

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

There are no reports of cystic liver infection after liver transplantation. Herein, we report a rare case of cystic liver graft infection after living donor liver transplantation (LDLT). The patient was a 24-year-old man with primary sclerosing cholangitis who underwent right lobe graft LDLT. Preoperative abdominal computed tomography (CT) revealed a liver cyst at segment 8 of the donor liver. Biliary reconstruction was performed with hepaticojejunostomy. The postoperative course was uneventful until the patient developed a high fever and abdominal pain 15 months after LDLT. Abdominal contrast CT revealed abscess formation. Percutaneous drainage of the cyst was performed and purulent liquid was drained. The fever gradually subsided after treatment. On follow-up CT, the size of the infected liver cyst was decreased. Clinicians should be aware of the potential for cystic liver infection when using grafts with liver cysts, particularly when biliary reconstruction is performed with hepaticojejunostomy.

Original languageEnglish
Pages (from-to)169-174
Number of pages6
JournalCase Reports in Gastroenterology
Volume8
Issue number2
DOIs
Publication statusPublished - Apr 16 2014

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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