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EQA

Liver transplant meeting 24th November 2009











Case 1

Male 67 years

Two years post transplant for NASH cirrhosis and well differentiated HCC.
Clinical information: Transaminitis and weight gain.


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Case 2

Male 60 years

Seven months post transplant for Hep C and HCC.
Clinical information: became unwell, LFTs AST 72 ALT 53 ALP 999 GGT 803
?acute cellular rejection.


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Case 3

Female 58 years

Eighteen months post transplant for HCV cirrhosis in China.
Clinical information: HCV abnormal LFTs ?recurrence.


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Case 4

Female 65 years

Six months post liver transplant for HCV cirrhosis.
Clinical information: Elevated cholestatic enzymes, normal U/S. Fibrosing cholestatic hep? Chronic rejection?


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Case 5

Male 58 years

Six months post transplant for Hepatitis C.
Clinical information: Itching, deranged LFTs, dilation of intrahepatic bile ducts with anastomotic stricture.


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Case 6

Male 60 years

One year post re-transplant Hep C. This was four years after original transplant for hep C.
Clinical information: Raised ALT/bilirubin


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Case 7

Male 48 years

Eleven months post transplant for Hepatitis C.
Clinical information: poor cholestatic hepatitis at two months post transplant.


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Case 8

Female 30 years

Subacute liver failure





NO VIRTUAL SLIDES FOR THIS CASE

Case 9

Male 52 years

Four months post transplant for Hepatitis C cirrhosis.
Clinical information: moderate acute cellular rejection in first week. Follow up biopsies showed lobular hepatitis. Eleven weeks mild acute rejection then cholestasis became a problem. RNA 69 million at four months


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Case 10

Male 50 years

Three years post transplant for Hepatitis C and alcoholic liver disease.
Clinical Information: Moderate acute rejection in first week. Chronic portal hepatitis (hepatitis C-like) at nine months. This biopsy at three years.


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Case 11

Male 21 years

Two and a half years post transplant for fulminant non A-E hepatitis.
Clinical Info: Acute rejection March 07. CMV disease April 07. recent acute rise in LFT. U/S normal. Bilirubin 56, ALT 332, ALP 533, GGT 1058.


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Case 12

Female 41 years

Two years post transplant for HCV cirrhosis.
Protocol annual biopsy: ALT 87, other LFTs normal.


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Case 13

Male 49 years

Five months post transplant for multinodular focal HCC with active cirrhosis.
Recent increased ALT 70, bilirubin 70, raised alkaline phosphatase 270.


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Case 14

Sex unknown age unknown

Surface antigen positive. Type II diabetes. Previous pulmonary TB treated. Transplanted for portal hypertension (EPS slide for scanning).


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