原创力文档acute paranoid psychosis as sole clinical presentation of hepatic artery thrombosis after living donor liver transplantation急性偏执性精神病的唯一临床表现活体肝移植术后肝动脉血栓形成.pdfVIP
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acute paranoid psychosis as sole clinical presentation of hepatic artery thrombosis after living donor liver transplantation急性偏执性精神病的唯一临床表现活体肝移植术后肝动脉血栓形成
Goralczyk et al. BMC Surgery 2010, 10:7
/1471-2482/10/7
CASE REPORT Open Access
Acute paranoid psychosis as sole clinical
presentation of hepatic artery thrombosis after
living donor liver transplantation
1* 2 2 1 1
Armin D Goralczyk , Volker Meier , Giuliano Ramadori , Aiman Obed , Thomas Lorf
Abstract
Background: Hepatic artery thrombosis is a devastating complication after orthotopic liver transplantation often
requiring revascularization or re-transplantation. It is associated with considerably increased morbidity and mortality.
Acute cognitive dysfunction such as delirium or acute psychosis may occur after major surgery and may be
associated with the advent of surgical complications.
Case presentation: Here we describe a case of hepatic artery thrombosis after living-donor liver transplantation
which was not preceded by signs of liver failure but rather by an episode of acute psychosis. After re-
transplantation the patient recovered without sequelae.
Conclusion: This case highlights the need to remain cautious when psychiatric disorders occur in patients after
liver transplantation. The diagnostic procedures should not be restricted to medical or neurological causes of
psychosis alone but should also focus vascular complications related to orthotopic liver transplantation.
Background may be resolved by fibrinolysis, interventional treatment,
Hepatic artery thrombosis (HAT) is the most frequent or surgical thrombectomy [1]. Mortality of HAT may
arterial complication in orthotopic liver transplantation vary from 55.6% (early HAT) to 15% (late HAT) [2].
(OLT) occurring in 2.5-6.8% of adult transplant recipi-
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