Hepatic gas gangrene following liver transplantation

Fatal liver gas gangrene after biliary surgery

INTRODUCTION Liver gas gangrene is a rare condition with a highly mortality rate. It is mostly associated with host factors, such as malignancy and immunosuppression. PRESENTATION OF CASE A 57-year-old female was admitted to our hospital with abnormalities of her serum hepato-biliary enzymes. She had a history of hypertension, diabetes mellitus, cerebral infarction, and chronic renal failure....

Gas Gangrene

Pancreatitis following liver transplantation.

Since 1981, when the liver transplantation program was initiated at the University of Pittsburgh, we have been impressed with the prevalence of pancreatitis occurring following liver transplantation in patients transplanted for hepatitis B-related liver disease. To either confirm this clinical impression or refute it, the records of the 27 HbsAg+ patients and those of an additional 24 HbsAg- bu...

Gas Gangrene

Gas gangrene of the liver after a choledocho-jejunostomy.

C-reactive protein of 253 mg/l. Liver tests showed an alkaline phosphatase of 270 IU/l, alanine aminotransferase of 707 IU/l, aspartate aminotransferase of 1,912 IU/l, total bilirubin of 59 mol/l, lactate dehydrogenase of 4,678 IU/l and  -glutamyl-transpeptidase of 94 IU/l. A CT scan revealed partial necrosis of the liver, especially the left liver lobe, with extensive air in the bile ducts an...