Acute paranoid psychosis as sole clinical presentation of hepatic artery thrombosis after living donor liver transplantation

BMC Surgery

Case Report

Giuliano Ramadori¹  Volker Meier¹  Armin D Goralczyk²  Aiman Obed²  Thomas Lorf² 

[1] Department of Gastroenterology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany;Department of General and Visceral Surgery, University Medical Center Göttingen, Göttingen, Germany;

关键词: Tacrolimus;    Hepatic Encephalopathy;    Orthotopic Liver Transplantation;    Acute Liver Failure;    Postoperative Delirium;   

DOI  :  10.1186/1471-2482-10-7

 received in 2009-07-29, accepted in 2010-02-22,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundHepatic artery thrombosis is a devastating complication after orthotopic liver transplantation often requiring revascularization or re-transplantation. It is associated with considerably increased morbidity and mortality. Acute cognitive dysfunction such as delirium or acute psychosis may occur after major surgery and may be associated with the advent of surgical complications.Case presentationHere we describe a case of hepatic artery thrombosis after living-donor liver transplantation which was not preceded by signs of liver failure but rather by an episode of acute psychosis. After re-transplantation the patient recovered without sequelae.ConclusionThis case highlights the need to remain cautious when psychiatric disorders occur in patients after liver transplantation. The diagnostic procedures should not be restricted to medical or neurological causes of psychosis alone but should also focus vascular complications related to orthotopic liver transplantation.

【 授权许可】

CC BY   
© Goralczyk et al; licensee BioMed Central Ltd. 2010