Toxic liver syndrome is a rare condition with multiorgan failure in end-stage disease (ESLD), and two-stage LT following hepatectomy prolonged anhepatic phase an accepted approach to bridge transplant. This primary has not been described for toxic children ESLD. We report 6-year-old boy who developed while awaiting ESLD from biliary atresia failed Kasai at the age of 2 years. Deemed too sick tr...