A Second Shot at Life
A classic case of Living Donor Liver Transplant
A 34-year-old man from Nauru was struggling with Cirrhosis since
2014, owing to a case of Hepatitis B related chronic liver disease
with a significant history of alcohol intake. To begin with, he had
multiple incidences of bloody vomitings where he had lost around
a litre of blood. The patient had to undergo multiple episodes of
endoscopy guided banding for oesophageal varices to control this
life-threatening complications. The facility for Liver Transplant
was not available in his country. Beginning early 2016, the patient
started to develop abdominal swelling due to accumulation of fluid
in his abdomen, despite being on diuretics for control of ascites,
along with other dreaded and complicated symptoms of Cirrhosis.
The only real curative option for his end stage liver disease was
In September of 2016, the patient came in contact with Dr. Sanjay
Singh Negi, Director and Sr. Consultant, BLK Centre for HPB
Surgery & Liver Transplant. The patient was made aware of the
requirement of Liver Transplant and all his fears and concerns
regarding the same were addressed. His cousin brother was found to
be a suitable blood group compatible donor. However, the potential
donor was overweight with a high body-mass index and was put
on a strict weight loss regime. Post his weight-loss, complete donor
evaluation was done and eventually, in October 2016, the patient
underwent a Living Donor Liver Transplant.
The surgery was smooth and uneventful. The donor recovered well
and was discharged on post operative day 7. The recipient himself
showed remarkable recovery and was shifted out of the ICU on day
5. The patient was gradually started on oral diet and then moved
onto normal diet. He was discharged on post operative day 20.
The patient spent few weeks in India under doctors’ supervision
on outpatient basis until his immunosuppression was regularised.
Within 2 months of landing in India, he was raring to fly back to
Nauru looking forward to a new life, a second innings.