Before/After Image

A patient suffering from ascites treated with liver transplant

Patient Review

  • Patient's Name: Mr. Swamy
  • Patient's Age: 47
  • Patient's Gender: male


  • Fluid overload
  • Ascites
  • Infections
  • Coagulopathy

Case Presentation

A 59-year-old male named Mr Swamy, a decompensated cirrhosis patient suffering from ascites, fluid overload, infections, and coagulopathy, consulted Dr Gaurav Gupta for a liver transplant. Mr Swamy was unable to breathe due to fluid overload when he arrived at the OPD. He weighed 120 kgs, and the majority of his excess weight was due to fluid overload. 


Dr. Gaurav Gupta is a skilled liver transplant surgeon in Mumbai. He has performed more than 500 liver transplants in Mumbai. Moreover, Dr Gaurav Gupta is a certified ASTS abdominal organ transplant surgeon.


liver transplant is a complex procedure that necessitates a multidisciplinary and comprehensive approach. End-stage liver disease and cancer patients who want to rehabilitate and restore their health as much as possible can benefit from a liver transplant.


It is critical to remember that cirrhotic liver patients have a reduced level of immunity. Infections plague these people constantly. Furthermore, the presence of the COVID-19 complicates things.


Mrs. Swamy, the patient's wife, agreed to donate a portion of her liver to him. Mr Swamy had a fever, cough, and trouble breathing during the early investigation and was COVID positive. He was admitted to the hospital for two weeks to recover from the same. On the other hand, his wife and son were also COVID positive, but they recovered well in two weeks.


Mr. Swamy began to experience serious cirrhosis complications, and waiting too long for a transplant would have put him at risk. In such severe conditions, liver transplant surgery is postponed for six to eight weeks. Furthermore, Mr Swamy's health insurance was set to expire in four weeks, leaving Dr Gupta with no choice except to perform the high-risk liver transplant surgery.


Dr Gupta went over the risks of performing an early liver transplant surgery with the patient, donor, and entire family. Dr Gupta performed the transplant with the approval of the family. Dr Gupta took all necessary precautions before the procedure. Now, he is glad to see the patient doing so well following the transplant.


Treatment and prognosis

  • Liver Transplant

Physical Examination & Tests

  • Pre-operative tests required for liver transplantation
  • RT-PCR test for COVID-19 diagnosis


This is what the patient, Mr. Swamy, said, "Dr. Gaurav Gupta and his entire staff were extremely supportive during this tough time for our family. When I was running out of time due to the diagnosis of COVID and the expiry date of my medical insurance, I had given up hope. Dr. Gaurav Gupta and his team gave me hope. After our COVID-19 recovery, they conducted a liver transplant within four weeks. After the transplant, my extra weight was reduced, and now I am 80kgs. My wife and I have entirely recovered. I am speechless when it comes to expressing my gratitude to the entire team."

Relevant Questions

If a patient has alcohol-related liver injury generally treatment depends upon the degree of liver injury. some of the patients will recover after alcohol-related liver injury but in case of severe alcoholic hepatitis, liver transplant may be needed. 

If you want to know more, you can refer the article on Alcohol Liver Disease.

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If your doctor has told you that you have compensated cirrhosis, this means you are in the early stages of the disease. The cause of cirrhosis in such patients must be thoroughly investigated. These individuals must also be monitored by liver experts on a frequent basis in order to diagnose and treat issues when they emerge. These individuals must also adhere to a rigorous liver-related diet. Diets are usually changed and tailored to the specific needs of each patient. I hope this answers your question, and please contact me if you have any other questions!

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