Leatheng Chanbormey, Khatskevich Katsiaryna, Erno Jason, Riemer Ellen C
Acad Forensic Pathol. 2024 Sep 5;14(4):142-145. doi: 10.1177/19253621241278889. eCollection 2024 Dec.
Gastrointestinal bleeding is one of the complications seen after a liver transplant with a poor prognosis and low survival. The most common cause of gastrointestinal bleeding after a liver transplant is ulcers followed by hemorrhagic enteritis and portal hypertensive lesions. We present a case of a middle-aged male, with improving liver function labs and imaging, who passed away from large-volume hematemesis approximately 2 months after a liver transplant. On autopsy, the cause of death was concluded to be from acute upper gastrointestinal hemorrhage due to esophageal variceal bleeding.
胃肠道出血是肝移植术后出现的并发症之一，预后较差，生存率低。肝移植术后胃肠道出血最常见的原因是溃疡，其次是出血性肠炎和门静脉高压性病变。我们报告一例中年男性病例，其肝功能检查和影像学检查结果有所改善，但在肝移植术后约2个月因大量呕血死亡。尸检得出的死亡原因是食管静脉曲张破裂出血导致的急性上消化道出血。
