Patel Vinay, Marsano Luis, Eng Mary
Divisions of Gastroenterology, Hepatology, Nutrition, Department of Medicine, University of Louisville, Ambulatory Care Building, 3rd Floor, Louisville, KY 40292, USA.
Case Rep Transplant. 2011;2011:862567. doi: 10.1155/2011/862567. Epub 2011 Aug 15.
Patients with end-stage liver disease with renal failure can be considered for simultaneous liver kidney transplantation. There are, however, no clear guidelines as to the management of the well-compensated cirrhotic patient with end-stage renal disease. We present the case of a patient with cirrhosis who decompensated after renal transplantation. With no indication for liver transplantation, can these patients safely undergo renal transplantation?
患有终末期肝病并伴有肾衰竭的患者可考虑同时进行肝肾移植。然而,对于病情得到良好代偿的终末期肾病肝硬化患者的管理,尚无明确的指导方针。我们报告了一例肝硬化患者在肾移植后病情失代偿的病例。在没有肝移植指征的情况下,这些患者能否安全地接受肾移植?