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

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Presentation on theme: "Transplant Surgery April 8-14 Joohyun Kim Keri Quinn Matt Kaspar Abdul Hamdi Katarzyna Trebska-McGowan."— Presentation transcript:

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

2 DATEPT/MRNAtt/ResDXPROCEDURE 04/08LKA 3007106 Cotterell/KimESRDDeceased donor kidney transplant 04/09PD 1474697Cotterell/KimESRDLeft arm AV fistula 04/09BP 5279152Cotterell/QuinnESRDLeft arm AV fistula 04/10DW 6320414Cotterell/KimCadaveric donor Donor nephrectomy, donor hepatectomy 04/10CB 7172814Cotterell/QuinnLiving donorLiving donor nephrectomy 04/10ME 7172671Cotterell/Posner/ Quinn ESLDDeceased donor liver transplant 04/10BW 6684358Posner/TrebskaESRDPeritoneal dialysis catheter placement

3 DATEPT/MRNAtt/ResDXPROCEDURE 04/10MH 6495812Posner/QuinnESRDAV fistula 04/11LR 7328461Fisher/Kim/QuinnHepatic adenoma Tumor resection, Partial hepatectomy, incidental cholecystectomy 04/12AV7246284Cotterell/Posner/KimESLDDeceased donor liver transplant 04/13VE 5064066Cotterell/TrebskaESRDPeritoneal dialysis catheter placement

4 Complications DATEPT/MRNAtt/Res Complication Procedure 4/12AH 6445654 Sharma/Cottere ll/Quinn/Kim Readmission for fever Deceased donor kidney transplant 4/14BP 4832576Posner/Fisher/Ki m/Quinn Readmission for feverLiving donor kidney transplant 4/08FC 3619735 Cotterell/Sharm a/Kim/Quinn Readmission for fever Deceased donor kidney transplant

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7 CT 3/15

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10 MRI 3/15

11 MRI 4/3

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13 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.


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