Acute postoperative liver failure caused by thrombosis of the celiac trunk — case report

Abstract

Acute liver failure caused by impaired blood supply is a very rare complication among multiple complications of
extensive vascular procedures involving abdominal aorta. We report a case of acute liver failure that occurred
one day after replacement of an infected bifurcated aortobifemoral graft. Liver failure occurred in a patient
with generalized atherosclerosis, with extensive lesions in splanchnic arteries, with massive infection focus,
who experienced episodes of intraoperative drop of arterial blood pressure. Normal liver function was restored
after re-operation performed in the urgent setting when hepatic circulation was restored. Analysis of clotting
tests performed shortly after the first operation and then laboratory tests and imaging studies assessing liver
function were the basis for the diagnosis.