Liver transplant after massive spontaneous @entity99 in pregnancy complicated by XXXX .

@entity1 @entity548 @entity63 @entity551 @entity397 @entity1468 @entity3851 @entity99 @entity130
BACKGROUND: Spontaneous @entity99 associated with @entity1468 is a rare but life-threatening situation. Several different surgical treatments have been described, depending on the severity of the @entity397 . Liver transplantation has become the mainstay for @entity1 with @entity3851 . Transplantation in the setting of liver @entity130 or massive parenchymal disruption is not well defined. To our knowledge, this treatment has not been reported for spontaneous @entity99 in pregnancy. CASE: Massive, spontaneous @entity99 occurred in a @entity1 at 36 weeks' gestation as a result of severe @entity1468 . Conventional surgical therapies were unsuccessful in controlling the @entity548 . As a life-saving measure, the @entity1 underwent total hepatectomy with the creation of an end-to-side portcaval shunt, thereby rendering the @entity1 anhepatic. The @entity1 was listed as urgently needing a liver for transplantation through the United Network for Organ Sharing. A suitable donor liver was located approximately 8 hours after the emergency hepatectomy. The @entity1 underwent orthotopic liver transplantation after being maintained in an anhepatic state for almost 13 hours. The @entity1 was discharged on postoperative day 41, suffering only from some @entity63 secondary to hypovolemic @entity551 occurring during the hepatectomy procedure. CONCLUSION: In the reported case, spontaneous @entity99 resulted in a @entity548 that could not be controlled by previously reported techniques and required total hepatectomy followed by liver transplantation.
