Transplant Surgery April 8-14 Joohyun Kim Keri Quinn Matt Kaspar Abdul Hamdi Katarzyna Trebska-McGowan.

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Presentation transcript:

Transplant Surgery April 8-14 Joohyun Kim Keri Quinn Matt Kaspar Abdul Hamdi Katarzyna Trebska-McGowan

DATEPT/MRNAtt/ResDXPROCEDURE 04/08LKA Cotterell/KimESRDDeceased donor kidney transplant 04/09PD Cotterell/KimESRDLeft arm AV fistula 04/09BP Cotterell/QuinnESRDLeft arm AV fistula 04/10DW Cotterell/KimCadaveric donor Donor nephrectomy, donor hepatectomy 04/10CB Cotterell/QuinnLiving donorLiving donor nephrectomy 04/10ME Cotterell/Posner/ Quinn ESLDDeceased donor liver transplant 04/10BW Posner/TrebskaESRDPeritoneal dialysis catheter placement

DATEPT/MRNAtt/ResDXPROCEDURE 04/10MH Posner/QuinnESRDAV fistula 04/11LR Fisher/Kim/QuinnHepatic adenoma Tumor resection, Partial hepatectomy, incidental cholecystectomy 04/12AV Cotterell/Posner/KimESLDDeceased donor liver transplant 04/13VE Cotterell/TrebskaESRDPeritoneal dialysis catheter placement

Complications DATEPT/MRNAtt/Res Complication Procedure 4/12AH Sharma/Cottere ll/Quinn/Kim Readmission for fever Deceased donor kidney transplant 4/14BP Posner/Fisher/Ki m/Quinn Readmission for feverLiving donor kidney transplant 4/08FC Cotterell/Sharm a/Kim/Quinn Readmission for fever Deceased donor kidney transplant

CT 3/15

MRI 3/15

MRI 4/3

Specimen #2 shows a low grade hepatocellular neoplasm. Although the tumor is greater than 90% infarcted, some features suggestive hepatic adenoma are present (steatosis, unpaired arterial supply), although, those features can also be seen in well differentiated hepatocellular carcinoma. These overall histologic features in addition to the clinical history of a young female with a history of oral contraceptive use favor the diagnosis of infarcted adenoma. Gallbladder with mild chronic cholecystitis. Infarcted low grade hepatocellular neoplasm, status post embolization (see Comment). Embolic bead material with associated foreign body giant cell reaction with vessels. A 38-year-old white female with contained ruptured 12.0 cm adenoma of anteromedial segment and 3-4 smaller adenomas, posterior right lobe, segment 6. Cholecystectomy incidental.