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Updated: May 23, 2026

Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt
Published on: May 7, 2015
[Acute hemolytic anemia after liver transplantation in one case]
1Department of Hepatobiliary Surgery, Navy General Hospital, Beijing 100048, PR China.
Objective:
To report 1 case of acute hemolytic anemia after liver transplantation because of ABO compatibility and therapeutic experience.
Methods:
The patient with liver cancer underwent orthotopic piggyback liver transplantation on September 2010 after radiofrequency ablation of the tumors. The donor and recipient ABO blood types were type O and type A, separately. Acute hemolytic anemia occurred at 10 days after transplantation and hemoglobin decreased to 56 g/L. The bone marrow showed active hyperplasia; and myeloid : erythroid was 0.52 : 1. The immunosuppressants were used and type O washed red blood cells were transfused immediately.
Results:
The general condition of the patient was improved; hemoglobin increased gradually and returned to 111 g/L at 34 days after liver transplantation. At 12 months of follow-up, hemoglobin was within normal range.
Conclusion:
Using graft blood type washed red blood cells transfusion and immunosuppressants could be an effective therapeutic procedure in the patient with ABO compatibility graft when acute hemolytic anemia occurs.
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