Tragedy at Young Age Averted

How a mother went the extra mile to save her son

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Dr. (Prof.) Sanjay Singh Negi

Dr. (Prof.) Sanjay Singh Negi
Director & Sr. Consultant
HPB Surgery & Liver
Transplantation
BLK Centre for Digestive and Liver Diseases
BLK Super Speciality Hospital




“This monumental task was accomplished by the dedicated team of HPB Surgery & Liver Transplantation within a short span of less than 24 hrs from decision to transplant to being shifted back to ICU after a successful transplant.”

Tragedy at Young Age
Averted

How a mother went the extra mile to save her son

THE CASE

A young boy of just 7 years with Fulminant Hepatic Failure was transferred from another tertiary care hospital in the NCR region. On arrival at BLK Super Speciality Hospital, he was deeply jaundiced with severe Coagulopathy and Grade III Encephalopathy. Patient was on mechanical ventilation in view of Encephalopathy, however, his cardiac, respiratory and renal functions were intact. His ammonia level was 287 mcg/dl but his papillary reaction was intact. The patient had a previous history of relapsing jaundice for 3 months but extensive etiological work-up done both outside and at BLK centre failed to show up the offending cause. In fact, up to 50% cases of Fulminant Hepatic Failure may be Cryptogenic and the survival rate is very poor without emergent Liver Transplant. Timely and urgent transplant is of essence to prevent development of cerebral edema with herniation leading to irreversible brain damage.

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