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Braz J Anesthesiol. 2018 Sep - Oct;68(5):535-538. doi: 10.1016/j.bjan.2018.01.013. Epub 2018 Jun 19.

[Fulminant hepatic failure after simultaneous kidney-pancreas transplantation: a case report].

Brazilian journal of anesthesiology (Elsevier)

[Article in Portuguese]
Jimmy L Moss, Benjamin W Brown, Sher-Lu Pai, Klaus D Torp, Stephen Aniskevich

Affiliations

  1. Mayo Clinic Florida, Division of Hepatobiliary and Transplant Anesthesia, Department of Anesthesiology, Jacksonville, Estados Unidos.
  2. Mayo Clinic Florida, Division of Hepatobiliary and Transplant Anesthesia, Department of Anesthesiology, Jacksonville, Estados Unidos. Electronic address: [email protected].

PMID: 29929812 DOI: 10.1016/j.bjan.2018.01.013

Abstract

We describe an unusual case of hyperacute hepatic failure following general anesthesia in a patient receiving a simultaneous kidney-pancreas transplant. Despite an aggressive evaluation of structural, immunological, viral, and toxicological causes, a definitive cause could not be elucidated. The patient required a liver transplant and suffered a protracted hospital course. We discuss the potential causes of fulminant hepatic failure and the perioperative anesthesia management of her subsequent liver transplantation.

Copyright © 2018 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

Keywords: Adverse drug reaction; Agentes voláteis; Anestesia inalatória; Drug reaction; Inhalational anesthesia; Insuficiência hepática; Isoflurane toxicity; Kidney‐pancreas transplant; Liver failure; Liver transplant; Reação medicamentosa; Reação medicamentosa adversa; Toxicidade por isoflurano; Transplante de fígado; Transplante de rim‐pâncreas; Volatile agents

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