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Hepatofugal portal flow due to acute cellular rejection

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Abstract

We describe a case of living donor liver transplantation with hepatofugal portal flow caused by acute cellular rejection. The reversed portal flow was corrected by splenectomy and ligation of the residual collateral veins. Hepatofugal flow causes ischemic damage to the graft, which does not normalize spontaneously. In this particular case, meticulous Doppler ultrasound examination and prompt response to reversed portal flow salvaged the graft.

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Acknowledgments

This work was supported by a Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan and Grants-in-aid for Research on HIV/AIDS and Research on Measures for Intractable Diseases from the Ministry of Health, Labor and Welfare of Japan.

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Authors and Affiliations

  1. Artificial Organ and Transplantation Surgery Division, Department of Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Y. Kyoden, Y. Sugawara, Y. Matsui, Y. Kishi, N. Akamatsu & M. Makuuchi

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  1. Y. Kyoden
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  2. Y. Sugawara
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  3. Y. Matsui
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  4. Y. Kishi
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  5. N. Akamatsu
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  6. M. Makuuchi
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Correspondence to Y. Sugawara.

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Kyoden, Y., Sugawara, Y., Matsui, Y. et al. Hepatofugal portal flow due to acute cellular rejection. Abdom Imaging 30, 303–305 (2005). https://doi.org/10.1007/s00261-004-0269-1

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  • DOI: https://doi.org/10.1007/s00261-004-0269-1

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