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©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Feb 27, 2019; 11(2): 242-249
Published online Feb 27, 2019. doi: 10.4254/wjh.v11.i2.242
Published online Feb 27, 2019. doi: 10.4254/wjh.v11.i2.242
Two-stage liver transplant for ruptured hepatic adenoma: A case report
Marc Salhanick, Division of Vascular Surgery, Department of Surgery, the University of Texas Southwestern Medical Center, Dallas, TX 75390, United States
Malcolm P MacConmara, Christine S Hwang, Justin R Parekh, Division of Surgical Transplantation, Department of Surgery, the University of Texas Southwestern Medical Center, Dallas, TX 75390, United States
Mark R Pedersen, Lafaine Grant, Division of Digestive and Liver Diseases, Department of Internal Medicine, the University of Texas Southwestern Medical Center, Dallas, TX 75390, United States
Author contributions: Salhanick M and Pedersen MR wrote the paper; MacConmara MP, Hwang CS, Parekh JR and Grant L provided critical revision.
Informed consent statement: Given the nature of the patient’s condition at the time of hepatectomy and liver transplant, consent was obtained from the patient’s legal surrogate decision maker (her parents).
Conflict-of-interest statement: No authors have any conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Malcolm P MacConmara, MD, Attending Doctor, Division of Surgical Transplantation, Department of Surgery, the University of Texas Southwestern Medical Center, 6201 Harry Hines Blvd, Dallas, TX 75390, United States. malcolm.macconmara@utsouthwestern.edu
Telephone: +1-214-6458300 Fax: +1-214-6456771
Received: November 15, 2018
Peer-review started: November 15, 2018
First decision: November 27, 2018
Revised: January 3, 2019
Accepted: January 27, 2019
Article in press: January 28, 2019
Published online: February 27, 2019
Processing time: 103 Days and 19.3 Hours
Peer-review started: November 15, 2018
First decision: November 27, 2018
Revised: January 3, 2019
Accepted: January 27, 2019
Article in press: January 28, 2019
Published online: February 27, 2019
Processing time: 103 Days and 19.3 Hours
Core Tip
Core tip: This case describes a rare and dramatic complication of a hepatic adenoma that resulted in both massive hemorrhage and toxic liver syndrome which could only be treated with hepatectomy. Recognition of toxic liver syndrome is essential when dealing with patients who suffer massive liver necrosis in attempts to control bleeding. Early consideration should be given to liver transplantation with or without hepatectomy before the patient becomes too unstable to proceed.