Small-for-size syndrome in adult-to-adult living-related liver transplantation

Figure 5 Spleen necrosis treated with conservative therapy. Post-living-related donor liver transplantation status in an 18-year-old man. Splenic artery embolization (SAE) was performed with coils and Amplatzer Vascular Plug to increase the hepatic artery blood flow after recanalization with administration of intravenous recombinant tissue plasminogen activator (rt-PA- alteplase) (case slide 23). A: Two days after SAE, multidetector computed tomography (MDCT) showed patchy areas of severe hypodensity in the spleen; B: One month after SAE, MDCT showed swelling of the spleen, with homogeneous hypodensity in almost all the parenchyma, which reflected severe necrosis; C: One year later, MDCT showed significant spontaneous reduction in spleen volume.