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Living Donor Liver Transplantation for Progressive Familial Intrahepatic Cholestasis Type 1: Two Reported Cases
Y Oya1, Y Sugawara1, M Honda1
1Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University, Kumamoto, Japan.
Insights
Liver retransplantation offers a potential solution for Progressive Familial Intrahepatic Cholestasis type 1 (PFIC1) patients facing liver failure. While it can resolve some complications, further improvements are needed for this complex treatment.
Area of Science:
- Hepatology
- Pediatric Gastroenterology
- Transplantation Medicine
Background:
- Progressive Familial Intrahepatic Cholestasis type 1 (PFIC1) is a rare inherited disorder.
- PFIC1 presents with cholestatic features and can lead to liver failure.
- Liver transplantation is a critical intervention for PFIC1.
Background:
Progressive familial intrahepatic cholestasis type 1 (PFIC1) is an inherited disease characterized by cholestatic features. We report two patients with PFIC1 who underwent liver retransplantation.
Case Report:
One patient was a 3-year-old female who underwent liver transplantation for PFIC1. She presented with severe diarrhea and fatty liver, and went into liver failure. She therefore underwent liver retransplantation and external biliary diversion 8 years after the initial liver transplantation. The explanted liver was histologically diagnosed with chronic rejection. Her intractable diarrhea stopped after the retransplantation. She was diagnosed with a fatty liver 8 months after the retransplantation and died 4 years after retransplantation due to bleeding from an ileostomy. The other patient was a 3-year-old male. This patient underwent liver retransplantation due to liver cirrhosis caused by steatohepatitis 9 years after the initial liver transplantation. The biliary tract was not diverted. He also experienced severe diarrhea after the retransplantation and requires home parenteral nutrition due to an eating disorder.
Conclusions:
Liver transplantation is the only treatment to resolve life-threatening issues due to PFIC1, but requires further improvement as a therapeutic modality.
