Surgeons at Kamineni Hospitals, LB Nagar, Hyderabad, performed a Complex Cadaver Liver Transplant surgery on a 49-year-old patient, who was suffering from Primary Biliary Cirrhosis with autoimmune hepatitis since October 2021. He was brought to the hospital with complaints of tiredness, general weakness, and later, Pedal oedema. After performing certain tests, doctors diagnosed that the patient’s Model for End-stage Liver Disease (MELD) score was 19, which was a clear indication for liver transplantation.
The patient, Dinesh Agarwwal, resident of New Delhi, was aware that the hospital had a competent transplant team and well-equipped transplant OT and ICU capable of dealing with difficult cases. Besides, Kamineni Hospitals’ former patient Sanjay Agarwal had recommended him about the successful liver transplant surgeries done by the hospital’s surgeons.
“Primary biliary cirrhosis (PBC) is a rare ailment with overlap autoimmune hepatitis (AIH). The patient already had low MELD score, and so we immediately looked for donors for immediate liver transplant surgery. AIH with PBC is rare and has a predisposition for genetic inheritance due to which daughter cannot be a donor and wife belongs to different blood group, so the donor was O +ve whereas recipient is A +ve as patient has Decompensated chronic liver disease stage requiring serial transfusions and ascetic tapping which lead him to undergo liver transplantation,” said Dr. Rajasekhar Perumalla, Senior Hep
