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World J Gastroenterol. May 14, 2010; 16(18): 2311-2313
Published online May 14, 2010. doi: 10.3748/wjg.v16.i18.2311
Published online May 14, 2010. doi: 10.3748/wjg.v16.i18.2311
Living donor liver transplantation for an adult patient with situs inversus totalis
Bong-Wan Kim, Byong-Ku Bae, Weiguang Xu, Hee-Jung Wang, Myung-Wook Kim, Center for Liver Transplantation and Hepatobiliary Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon 443-749, South Korea
Author contributions: Kim BW wrote the case report; Kim BW, Bae BK, Xu W, Wang HJ and Kim MW contributed equally to case selection, treatment design and follow-up.
Correspondence to: Hee-Jung Wang, MD, PhD, Center for Liver Transplantation and Hepatobiliary Surgery, Ajou University Hospital, Ajou University School of Medicine, San 5, Wonchon-Dong, Youngtong-Ku, Suwon 443-749, South Korea. wanghj@ajou.ac.kr
Telephone: +82-31-2195200 Fax: +82-31-2195755
Received: January 4, 2010
Revised: February 8, 2010
Accepted: February 15, 2010
Published online: May 14, 2010
Revised: February 8, 2010
Accepted: February 15, 2010
Published online: May 14, 2010
Abstract
This recipient with situs inversus totalis (SIT) was a 60-year-old female who had hepatitis B-related end-stage liver disease. Preoperative donor evaluation showed that the right posterior section satisfied graft volume and was space-fitting in the recipient hepatic fossa when it was rotated 180 degrees. The operation and postoperative course progressed satisfactorily. Three weeks after living donor liver transplantation (LDLT), the graft function was disturbed by compression of bottom-placed right hepatic vein. This was treated with a vascular stent and subsequently the graft function was normalized. The present case shows that LDLT for patients with SIT using a right posterior section graft is feasible.