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Simultaneous Liver-Kidney Transplantation

R. Gornev, M. Zashev, V. Mitova, A. Mihaylov, V. Pashev, B. Petrov, O. Shalamanov, L. Spasov

Abstract

Decompensated liver cirrhosis is a main indication for liver transplantation. Impaired renal function due to liver cirrhosis is observed in approximately 20% of patients during the first year and it reaches 40% by the fifth year.When there is renal damage as a result of glumerulonephritis, diabetes, hepatitis C and need for dialysis, then a combined liver-kidney transplantation could be highly necessary.Out of the 67 liver transplantations performed in University Hospital Lozenets`, there was one patient diagnosed with hepatorenal syndrome. In that case, it was decided that a simultaneous transplantation of two organs should be performed.We present the case of a 21-year-old man with decompensated liver cirrhosis, class C by Child, with a congenital hepatic fibrosis (MELD 28). Chronic tubulointerstitial nephritis and a medullary sponge kidney were observed. Due to acute encephalopathy and deteriorating liver and kidney status, the patient became subject to a simultaneous liver-kidney transplantation with organs from a deceased donor.

Keywords

simultaneous transplantation, liver cirrhosis, liver-kidney transplantation




DOI: http://dx.doi.org/10.14748/ssm.v48i0.2236

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About The Authors

R. Gornev

M. Zashev

V. Mitova

A. Mihaylov

V. Pashev

B. Petrov

O. Shalamanov

L. Spasov

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