Adult polycystic liver disease concomitant with severe anemia due to intracystic bleeding is indicated to liver transplantation: case report and review of literature

Abstract

Orthotopic liver transplantation (OLT) is currently applied to patients with polycystic liver disease (PLD) who progress into severely handicapping hepatomegaly due to cyst enlargement and compression. In this paper, we present the first case of adult isolated PLD concomitant with severe anemia due to intracystic bleeding successfully receiving OLT. This patient was a 22-year-old young man diagnosed as isolated PLD 2 years ago and was admitted to our center for transplant evaluation. Given the patient's typical compression symptoms and life-threatening intracystic hemorrhage, he then underwent OLT with a whole-size deceased graft. The recipient recovered uneventfully except medium right pleural effusion, and was discharged after 20 days upon transplantation. Our experience from this rare case suggested that adult PLD concomitant with severe anemia due to intracystic bleeding is indicated to OLT. This article is protected by copyright. All rights reserved.

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