Liver abscess developed after cadaveric liver transplantation due to ligation of an accessory right hepatic artery of the donor graft

Young-Dong Yu, Dong-Sik Kim, Geon Young Byun, Sung Ock Suh

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

It is important that extrahepatic arteries are identified precisely at the time of graft procurement. We present a case where the accessory right hepatic artery of the liver was ligated leading to postoperative liver abscess formation in the liver graft. A forty- seven-year-old female patient diagnosed with liver cirrhosis underwent orthotopic cadaveric liver transplantation due to altered mentality. The donor graft showed a variant of the hepatic artery anatomy where an accessory right hepatic artery arose from the superior mesenteric artery. This artery was accidentally transected during procurement. Since the back bleeding test using perfusion fluid was good, the artery was ligated. Postoperative abdominal computed tomography scan revealed a 6 cm low attenuating lesion in the liver. The patient underwent conservative treatment. We believe that even small accessory arteries (1 to 2 mm) should be reconstructed whenever possible to avoid postoperative complications such as liver abscess.

Original languageEnglish
Pages (from-to)246-249
Number of pages4
JournalJournal of the Korean Surgical Society
Volume83
Issue number4
DOIs
Publication statusPublished - 2012 Oct 1

Fingerprint

Liver Abscess
Hepatic Artery
Liver Transplantation
Ligation
Arteries
Tissue Donors
Transplants
Liver
Superior Mesenteric Artery
Liver Cirrhosis
Anatomy
Perfusion
Tomography
Hemorrhage

Keywords

  • Hepatic artery
  • Liver abscess
  • Liver transplantation
  • Postoperative complications

ASJC Scopus subject areas

  • Surgery

Cite this

Liver abscess developed after cadaveric liver transplantation due to ligation of an accessory right hepatic artery of the donor graft. / Yu, Young-Dong; Kim, Dong-Sik; Byun, Geon Young; Suh, Sung Ock.

In: Journal of the Korean Surgical Society, Vol. 83, No. 4, 01.10.2012, p. 246-249.

Research output: Contribution to journalArticle

@article{01cea97643b54da4be15c32a78d8c24c,
title = "Liver abscess developed after cadaveric liver transplantation due to ligation of an accessory right hepatic artery of the donor graft",
abstract = "It is important that extrahepatic arteries are identified precisely at the time of graft procurement. We present a case where the accessory right hepatic artery of the liver was ligated leading to postoperative liver abscess formation in the liver graft. A forty- seven-year-old female patient diagnosed with liver cirrhosis underwent orthotopic cadaveric liver transplantation due to altered mentality. The donor graft showed a variant of the hepatic artery anatomy where an accessory right hepatic artery arose from the superior mesenteric artery. This artery was accidentally transected during procurement. Since the back bleeding test using perfusion fluid was good, the artery was ligated. Postoperative abdominal computed tomography scan revealed a 6 cm low attenuating lesion in the liver. The patient underwent conservative treatment. We believe that even small accessory arteries (1 to 2 mm) should be reconstructed whenever possible to avoid postoperative complications such as liver abscess.",
keywords = "Hepatic artery, Liver abscess, Liver transplantation, Postoperative complications",
author = "Young-Dong Yu and Dong-Sik Kim and Byun, {Geon Young} and Suh, {Sung Ock}",
year = "2012",
month = "10",
day = "1",
doi = "10.4174/jkss.2012.83.4.246",
language = "English",
volume = "83",
pages = "246--249",
journal = "Annals of Surgical Treatment and Research",
issn = "2288-6575",
publisher = "Korean Surgical Society",
number = "4",

}

TY - JOUR

T1 - Liver abscess developed after cadaveric liver transplantation due to ligation of an accessory right hepatic artery of the donor graft

AU - Yu, Young-Dong

AU - Kim, Dong-Sik

AU - Byun, Geon Young

AU - Suh, Sung Ock

PY - 2012/10/1

Y1 - 2012/10/1

N2 - It is important that extrahepatic arteries are identified precisely at the time of graft procurement. We present a case where the accessory right hepatic artery of the liver was ligated leading to postoperative liver abscess formation in the liver graft. A forty- seven-year-old female patient diagnosed with liver cirrhosis underwent orthotopic cadaveric liver transplantation due to altered mentality. The donor graft showed a variant of the hepatic artery anatomy where an accessory right hepatic artery arose from the superior mesenteric artery. This artery was accidentally transected during procurement. Since the back bleeding test using perfusion fluid was good, the artery was ligated. Postoperative abdominal computed tomography scan revealed a 6 cm low attenuating lesion in the liver. The patient underwent conservative treatment. We believe that even small accessory arteries (1 to 2 mm) should be reconstructed whenever possible to avoid postoperative complications such as liver abscess.

AB - It is important that extrahepatic arteries are identified precisely at the time of graft procurement. We present a case where the accessory right hepatic artery of the liver was ligated leading to postoperative liver abscess formation in the liver graft. A forty- seven-year-old female patient diagnosed with liver cirrhosis underwent orthotopic cadaveric liver transplantation due to altered mentality. The donor graft showed a variant of the hepatic artery anatomy where an accessory right hepatic artery arose from the superior mesenteric artery. This artery was accidentally transected during procurement. Since the back bleeding test using perfusion fluid was good, the artery was ligated. Postoperative abdominal computed tomography scan revealed a 6 cm low attenuating lesion in the liver. The patient underwent conservative treatment. We believe that even small accessory arteries (1 to 2 mm) should be reconstructed whenever possible to avoid postoperative complications such as liver abscess.

KW - Hepatic artery

KW - Liver abscess

KW - Liver transplantation

KW - Postoperative complications

UR - http://www.scopus.com/inward/record.url?scp=84867739191&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867739191&partnerID=8YFLogxK

U2 - 10.4174/jkss.2012.83.4.246

DO - 10.4174/jkss.2012.83.4.246

M3 - Article

C2 - 23091798

AN - SCOPUS:84867739191

VL - 83

SP - 246

EP - 249

JO - Annals of Surgical Treatment and Research

JF - Annals of Surgical Treatment and Research

SN - 2288-6575

IS - 4

ER -