Liver Transplantation in Situs Inversus and Portal Vein Thrombosis (First Case Report in Russia)
Situs inversus is a rare mirror transposition of internal organs relative to the median plane. Liver transplantation in situs inversus is a serious medical challenge imposed by an abnormal arrangement of the recipient's organs.Aim. Clinical description of a successful cadaveric liver transplant...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2020-09-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/490 |
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| author | M. S. Novruzbekov O. D. Olisov V. A. Guliaev K. N. Lutsyk K. M. Magomedov B. I. Kazymov |
| author_facet | M. S. Novruzbekov O. D. Olisov V. A. Guliaev K. N. Lutsyk K. M. Magomedov B. I. Kazymov |
| author_sort | M. S. Novruzbekov |
| collection | DOAJ |
| description | Situs inversus is a rare mirror transposition of internal organs relative to the median plane. Liver transplantation in situs inversus is a serious medical challenge imposed by an abnormal arrangement of the recipient's organs.Aim. Clinical description of a successful cadaveric liver transplantation in an adult patient with situs inversus and portal vein thrombosis.Key points. A 32 years-old patient with situs inversus, chronic hepatitis B/D-induced liver cirrhosis and portal vein thrombosis had cadaveric liver transplantation, with the transplant reoriented in abdominal cavity 90° clockwise relative to the median plane. End-to-side cavocaval anastomosis was formed between the donor's retrohepatic and the recipient's main inferior vena cava, with successive portal and arterial anastomoses and complete donor liver reperfusion. A biliary reconstruction was performed with an end-to-end biliobiliary anastomosis. The surgery duration comprised 5 h 20 min, intraoperative blood loss — 2000 mL, cold ischemia time — 4 h. The patient was discharged on the 10th day after surgery in satisfactory condition.Conclusion. Situs inversus is not a contraindication to liver transplantation. |
| format | Article |
| id | doaj-art-be40f9b54da04fd1abb20e4de2f5bdec |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2020-09-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-be40f9b54da04fd1abb20e4de2f5bdec2025-02-10T16:14:36ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-09-01304606410.22416/1382-4376-2020-30-4-60-64379Liver Transplantation in Situs Inversus and Portal Vein Thrombosis (First Case Report in Russia)M. S. Novruzbekov0O. D. Olisov1V. A. Guliaev2K. N. Lutsyk3K. M. Magomedov4B. I. Kazymov5Sklifosovsky Clinical and Research Institute for Emergency MedicineSklifosovsky Clinical and Research Institute for Emergency MedicineSklifosovsky Clinical and Research Institute for Emergency MedicineSklifosovsky Clinical and Research Institute for Emergency MedicineSklifosovsky Clinical and Research Institute for Emergency MedicineSklifosovsky Clinical and Research Institute for Emergency MedicineSitus inversus is a rare mirror transposition of internal organs relative to the median plane. Liver transplantation in situs inversus is a serious medical challenge imposed by an abnormal arrangement of the recipient's organs.Aim. Clinical description of a successful cadaveric liver transplantation in an adult patient with situs inversus and portal vein thrombosis.Key points. A 32 years-old patient with situs inversus, chronic hepatitis B/D-induced liver cirrhosis and portal vein thrombosis had cadaveric liver transplantation, with the transplant reoriented in abdominal cavity 90° clockwise relative to the median plane. End-to-side cavocaval anastomosis was formed between the donor's retrohepatic and the recipient's main inferior vena cava, with successive portal and arterial anastomoses and complete donor liver reperfusion. A biliary reconstruction was performed with an end-to-end biliobiliary anastomosis. The surgery duration comprised 5 h 20 min, intraoperative blood loss — 2000 mL, cold ischemia time — 4 h. The patient was discharged on the 10th day after surgery in satisfactory condition.Conclusion. Situs inversus is not a contraindication to liver transplantation.https://www.gastro-j.ru/jour/article/view/490liver transplantationinternal organ transpositionportal vein thrombosis<i>situs inversus</i> |
| spellingShingle | M. S. Novruzbekov O. D. Olisov V. A. Guliaev K. N. Lutsyk K. M. Magomedov B. I. Kazymov Liver Transplantation in Situs Inversus and Portal Vein Thrombosis (First Case Report in Russia) Российский журнал гастроэнтерологии, гепатологии, колопроктологии liver transplantation internal organ transposition portal vein thrombosis <i>situs inversus</i> |
| title | Liver Transplantation in Situs Inversus and Portal Vein Thrombosis (First Case Report in Russia) |
| title_full | Liver Transplantation in Situs Inversus and Portal Vein Thrombosis (First Case Report in Russia) |
| title_fullStr | Liver Transplantation in Situs Inversus and Portal Vein Thrombosis (First Case Report in Russia) |
| title_full_unstemmed | Liver Transplantation in Situs Inversus and Portal Vein Thrombosis (First Case Report in Russia) |
| title_short | Liver Transplantation in Situs Inversus and Portal Vein Thrombosis (First Case Report in Russia) |
| title_sort | liver transplantation in situs inversus and portal vein thrombosis first case report in russia |
| topic | liver transplantation internal organ transposition portal vein thrombosis <i>situs inversus</i> |
| url | https://www.gastro-j.ru/jour/article/view/490 |
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