Successful orthotopic liver transplantation in an adult patient with sickle cell disease and review of the literature

  • Morey Blinder | mblinder@dom.wustl.edu Department of Medicine, Department of Pathology, Washington University in St. Louis, United States.
  • B. Geng Department of Medicine, Washington University School of Medicine, United States.
  • Mauricio Lisker-Melman Department of Medicine, Washington University School of Medicine, United States.
  • Jeffrey S. Crippin Department of Medicine, Washington University School of Medicine, United States.
  • Kevin Korenblat Department of Medicine, Washington University School of Medicine, United States.
  • William Chapman Department of Surgery, Washington University School of Medicine, United States.
  • Shalini Shenoy Department of Surgery, Washington University School of Medicine, United States.
  • Joshua J. Field Medical College of Wisconsin, United States.

Abstract

Sickle cell disease can lead to hepatic complications ranging from acute hepatic crises to chronic liver disease including intrahepatic cholestasis, and iron overload. Although uncommon, intrahepatic cholestasis may be severe and medical treatment of this complication is often ineffective. We report a case of a 37 year-old male patient with sickle cell anemia, who developed liver failure and underwent successful orthotopic liver transplantation. Both pre and post-operatively, he was maintained on red cell transfusions. He remains stable with improved liver function 42 months post transplant. The role for orthotopic liver transplantation is not well defined in patients with sickle cell disease, and the experience remains limited. Although considerable challenges of post-transplant graft complications remain, orthotopic liver transplantation should be considered as a treatment option for sickle cell disease patients with end-stage liver disease who have progressed despite conventional medical therapy. An extended period of red cell transfusion support may lessen the post-operative complications.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2013-05-02
Info
Issue
Section
Case Reports
Keywords:
Sickle cell disease, hepatopathy, transfusions
Statistics
  • Abstract views: 3315

  • PDF: 424
  • HTML: 235
How to Cite
Blinder, M., Geng, B., Lisker-Melman, M., Crippin, J. S., Korenblat, K., Chapman, W., Shenoy, S., & Field, J. J. (2013). Successful orthotopic liver transplantation in an adult patient with sickle cell disease and review of the literature. Hematology Reports, 5(1), e1. https://doi.org/10.4081/hr.2013.e1