Combined liver-kidney transplantation in a patient with acute liver failure coexisting with acute renal failure

Acute renal failure (ARF) is common among patients with liver failure awaiting liver transplantation due to the increased waiting time for available liver grafts and extended survival from improved intensive care. The role of combined liver and kidney transplantation (LKT) in this situation is quite...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of the Medical Association of Thailand Vol. 90; no. 8; p. 1654
Main Authors:	Sobhonslidsuk, Abhasnee, Phakdeekitcharoen, Bunyong, Leelaudomlipi, Surasak, Pootrakul, Piyanuch, Viengteeravat, Somchai, Sornmayura, Pattana, Sriphojanart, Suthat
Format:	Journal Article
Language:	English
Published:	Thailand 01-08-2007
Subjects:	Acute Kidney Injury - complications Acute Kidney Injury - surgery Humans Kidney Transplantation Liver Failure, Acute - complications Liver Failure, Acute - surgery Liver Transplantation Male Middle Aged
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Acute renal failure (ARF) is common among patients with liver failure awaiting liver transplantation due to the increased waiting time for available liver grafts and extended survival from improved intensive care. The role of combined liver and kidney transplantation (LKT) in this situation is quite controversial. A case of acute liver failure (ALF) complicated with ARF is reported. Non-A, non-B hepatitis was the cause of ALF. He had hemodialysis for one month before transplantation. Combined LKT was performed because of prolonged pre-transplant hemodialysis and the potential of irreversible renal failure. Severe impairment of both native kidneys was confirmed by renal scan at 6 months after transplantation. Combined LKT may be needed for patients with acute liver failure complicated with prolonged acute renal failure.
ISSN:	0125-2208