Before/After Image

Rare AB+ to B+ Living Donor Liver Transplant

Details of the Patient

  • Patient's Name: Mr. Gajanan Thamke
  • Patient's Gender: male

Symptoms shown by the Patient

  • Coagulopathy
  • Ascites

An Overview of the Case

 

Mr. Gajanan Thamke visited Dr. Gaurav Gupta with symptoms of coagulopathy and ascites. After diagnosis, Dr. Gaurav and his team concluded that Mr. Gajanan has Non-alcoholic steatohepatitis (NASH) and he would require an immediate liver transplant. The patient’s blood group was B+, so liver donation can only be done by family members with a B+ or O+ blood group. 

 

Unfortunately, none of the family members of Mr. Gajanan suited the blood group requirement. Dr. Gaurav and his team decided to wait in case a suitable liver donor could be found. However, time was running out for Mr. Gajanan, his condition was getting worse. He needed frequent ascitic tapping and his kidney was getting injured.

 

Dr. Gaurav Gupta and his team had a frank discussion with Mr. Gajanan and his family stating that there was not much time left and he required a liver transplant urgently. The team discussed with patient about possibility of ABO incompatible liver transplant, where transplant is performed from any blood group donor. The patient’s 23 year old daughter - Ms. Jayshree had an AB+ blood group which was incompatible. After some CT scans and tests, Jayshree was found suitable for the liver transplant. 

 

So, Dr. Gaurav decided to proceed with utmost precaution as such transplants are at a risk of developing biliary complications. The doctor decided to modify the surgical procedure by making changes in how they would cut and join the bile duct.

Medical Tests Performed

  • Tests

Feedback from the Patient

This feedback is from the patient Mr. Gajanan: "During this difficult period for our family, Dr. Gaurav Gupta and his whole staff were very helpful. I had given up hope when I was running out of time and we could not find a suitable donor. Yet Dr. Gaurav Gupta and the rest of the team gave me new hope. I am doing a lot better after my liver transplant, and I have no words to express 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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