Living donor liver transplantation and situs inversus totalis: cutting the Gordian knot

BMJ Case Rep. 2018 Oct 12:2018:bcr2018226222. doi: 10.1136/bcr-2018-226222.

Abstract

Liver transplantation for biliary atresia splenic malformation syndrome associated with situs inversus totalis is a challenging task due to the complexity of associated malformations and the technical proficiency required to overcome them. We present the case of a 6-month-old infant who underwent liver transplantation for biliary atresia. A reduced left lateral segment liver graft from a live donor (his mother) was implanted. The postoperative period was uneventful, and the child remained well on follow-up. Thus, such rare congenital anomalies no longer prove to be a deterrent for successful liver transplantation.

Keywords: paediatric surgery; transplantation.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnosis
  • Abnormalities, Multiple / diagnostic imaging
  • Abnormalities, Multiple / surgery
  • Biliary Atresia / complications
  • Biliary Atresia / diagnosis*
  • Biliary Atresia / diagnostic imaging
  • Biliary Atresia / surgery
  • Diagnosis, Differential
  • Humans
  • Infant
  • Liver Transplantation*
  • Living Donors
  • Male
  • Situs Inversus / complications
  • Situs Inversus / diagnosis*
  • Situs Inversus / diagnostic imaging
  • Situs Inversus / surgery
  • Tomography, X-Ray Computed