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.