Chinsu Liu1,2,3, Dau‐Ming Niu4,3, Cheng–Yuan Hsia5,2,3, Che‐Chuan Loong5,2,3, Niang‐Cheng Lin2,3, Hsin‐Lin Tsai1,2,3, Mei‐Yung Tsou6,3, Tai‐Wai Chin1,3
1Division of Pediatric Surgery
2Division of Transplantation Surgery, Department of Surgery, Taipei Veterans General Hospital
3National Yang-Ming University School of Medicine, Taipei
4Department of Pediatrics
5Division of General Surgery
6Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan
Tóm tắt
Liu C, Niu D‐M, Hsia C‐Y, Loong C‐C, Lin N‐C, Tsai H‐L, Tsou M‐Y, Chin T. Living donor liver transplantation using a graft from a donor with Dubin–Johnson syndrome.
Pediatr Transplantation 2012: 16: E25–E29. © 2010 John Wiley & Sons A/S.Abstract: DJS is an autosomal recessive disorder that causes an increase in conjugated bilirubin without elevation of liver enzymes. Most patients are asymptomatic and have normal life spans, but to the best of our knowledge, their livers have never been reported to be grafts in liver transplantation. Herein, we report an infant patient with MMA that received a partial liver graft from his mother, who had DJS. A biliary anastomosis stricture was noted five months after transplantation and was successfully treated with radiological interventions. Otherwise, the patient’s liver functions were normal, and a liver biopsy showed a pathognomonic picture of DJS nine months after the transplantation. The patient was followed for one yr, and the results were satisfactory for an increase in oral intake and protein uptake, no recurrence of metabolic stroke and there was a gradual catch‐up with regard to physical development despite having a persistently abnormal profile of amino acid analysis. From the experience of our case, we suggest that a liver from a donor with DJS can be used as a graft for liver transplantation, although long‐term follow‐up is mandatory to examine the grafted liver under the use of immunosuppressive medications.
