XXXX after Liver Transplantation Complicated with Inferior Vena Cava Stenosis: a Clue for Etiopathogenesis?

@entity1 @entity6323 @entity500 @entity417 @entity4988 @entity4 @entity1373 @entity843 @entity262 @entity5072 @entity1503 @entity4383 @entity1317 @entity715
Nodular regenerative @entity1373 is a histopathological diagnosis characterized by the diffuse transformation of the liver parenchyma into regenerative nodules associated with rheumatologic and @entity1503 , @entity500 immunosuppression or @entity1317 . The authors report the case of a 60-year-old female @entity1 with a diagnosis of @entity262 submitted to liver transplantation complicated by a @entity715 . A second liver transplant was performed and after 6 months she developed @entity843 and peripheral @entity4 . The abdominal computed tomography (CT) showed an @entity6323 . She underwent balloon angioplasty and an endovascular prosthesis was placed. The @entity1 remained asymptomatic under immunosuppression with tacrolymus for 4 years, when she complained of peripheral @entity4 and @entity843 . Laboratory work-up showed @entity417 and @entity4988 with liver chemistry within the normal range. The @entity843 fluid analysis revealed a serum @entity843 albumin gradient superior to 1.1 g/L. Abdominal Doppler ultrasound and abdominopelvic CT angiogram confirmed endovascular prosthesis permeability. A percutaneous hepatic biopsy specimen was taken and histologic analysis showed, with reticulin stain, focal regenerative nodules of @entity5072 hepatocytes and internodular hepatocyte atrophy, compatible with the diagnosis of @entity4383 . The case described is of particular interest as the @entity4383 occurred after liver transplantation complicated with @entity6323 , which might have contributed in a crucial way to liver parenchyma transformation.
