Liver Transplantation for Hemoperitoneum Secondary to Huge Multiple Hemangiomatosis: A Case Report of a Tele-intensive Care Unit in Deceased-Donor Management

Research output: Contribution to journalArticle

Abstract

Abstract Background: Patients with growing and nonresectable liver hemangiomas should be followed up by a transplant center with extensive experience in complex liver disease. They could be treated on an emergency basis with orthotopic liver transplantation, with an expectation of good long-term results. Materials and Methods: We describe the case of a 37-year-old woman with liver hemangiomatosis followed up for 8 years, who presented with bleeding requiring transfusions and developed hemodynamic instability. We listed her for emergency transplant before her sister's living donor work-up could be completed. A liver from a cadaveric donor became available at a small local hospital with no experience in organ donation. Tele-intensive care unit (tele-ICU) technology was used for providing clinical data electronically to physicians, nurses, and other critical care specialists, creating medication orders, and communicating with on-site caregivers to implement changes in donor care. Results: The recipient was transplanted on an emergency basis with a specific customization and application of the telemedicine system in the management of the organ procurement by the recipient team. Tele-ICU technology was used for providing an effective intensive care unit service, managing and stabilizing the deceased donor and allowing the procurement to be carried out uneventfully. Conclusions: Tele-ICU technology could be a promising resource for emergency transplantation, reducing the urgent need for a living donation and allowing prompt recipient team management of the deceased donor. Our first tele-ICU case offers early confirmation of the feasibility of the telemedicine system in deceased-donor management.

Original languageEnglish
Pages (from-to)499-502
Number of pages4
JournalTelemedicine journal and e-health : the official journal of the American Telemedicine Association
Volume21
Issue number6
DOIs
Publication statusPublished - Jun 1 2015

Keywords

  • hemoperitoneum
  • liver hemangiomatosis
  • liver transplantation
  • tele-intensive care unit
  • telemedicine

ASJC Scopus subject areas

  • Medicine(all)
  • Health Informatics
  • Health Information Management

Fingerprint Dive into the research topics of 'Liver Transplantation for Hemoperitoneum Secondary to Huge Multiple Hemangiomatosis: A Case Report of a Tele-intensive Care Unit in Deceased-Donor Management'. Together they form a unique fingerprint.

  • Cite this