A Complex Post-Transplant Puzzle: Successful Intervention in Chronic Allograft Dysfunction with Portal Biliopathy and Portal Vein Thrombosis

Authors

  • Adhiraj. B
  • Shanmugachandru. S
  • Immanuvel. T
  • Jacintha Abisha Angel.S
  • K. Karthickeyan
  • P. Shanmuga Sundaram
  • M.K. Sundar Sri

Keywords:

N/A

Abstract

We report a case of a 38-year-old female who presented with gastrointestinal symptoms eight years after a deceased donor liver transplantation performed for autoimmune hepatitis. She was found to have chronic allograft dysfunction complicated by portal biliopathy, portal vein thrombosis, ascites, and anemia. Her management involved percutaneous transhepatic biliary drainage (PTBD), terlipressin infusion, blood product transfusions, and optimization of immunosuppressive therapy. This case highlights the complex nature of long-term complications following liver transplantation and emphasizes the importance of multidisciplinary management in such cases.

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Published

2025-07-18

How to Cite

1.
B A, S S, T I, Angel.S JA, Karthickeyan K, Sundaram PS, Sri MS. A Complex Post-Transplant Puzzle: Successful Intervention in Chronic Allograft Dysfunction with Portal Biliopathy and Portal Vein Thrombosis. J Neonatal Surg [Internet]. 2025Jul.18 [cited 2025Oct.3];14(32S):5757-60. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8365