A Caucasian female, 36-year-old, became unwell and jaundiced over a period of 2 weeks. Her bilirubin was 400 μmol/l; AST 848 iu/l; INR 2.99 (norm. 0.9–1.2). Plasma ammonium ranged between 115 and 185 μmol/l (normal, <40 μmol/l). Three days later (day 0), she received right liver lobe auxiliary transplant from a cadaveric donor. On day 8, she was discharged from intensive care unit; her hemoglobin was 8.2 g/dl, and the bilirubin 162 μmol/l. On day 10, bilirubin was 294 μmol/l; hemoglobin decreased to 6.1 g/l, without signs of acute hemorrhage. The ward staff requested two units of red cells.
KeywordsBlood Bank Caucasian Female Cadaveric Donor Plasma Ammonium GVHD Prophylaxis
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