Early Liver Retransplantation in a Pediatric Patient with Biliary Atresia and Treatment of Complications

Abstract

Pediatric liver transplantation is the main therapeutic modality for patients with liver cirrhosis secondary to biliary atresia. Unfortunately, approximately 22% will require a retransplantation. We present the case of a 15-month-old male patient diagnosed with biliary atresia, who received a liver transplant, which was complicated with hepatic artery thrombosis. For this reason, he received a retransplantation. Afterward, he had gastric varices and portal vein stenosis, which were resolved successfully by interventional radiology. Currently, liver with normal function, and adequate psychomotor development. It is very important to quickly identify and manage biliary atresia and to be aware of early and late complications of transplantation; once identified, it is necessary to perform the appropriate treatment for complications to avoid fatal outcomes.

Keywords

• biliary atresia
• hepatic retransplantation
• interventional radiology
• pediatrics