Transplant SurgeryApril 8-14

Joohyun KimKeri Quinn

Matt KasparAbdul Hamdi

Katarzyna Trebska-McGowan

DATE PT/MRN Att/Res DX PROCEDURE

04/08 LKA 3007106 Cotterell/Kim ESRD Deceased donor kidney transplant

04/09 PD 1474697 Cotterell/Kim ESRD Left arm AV fistula

04/09 BP 5279152 Cotterell/Quinn ESRD Left arm AV fistula

04/10 DW 6320414 Cotterell/Kim Cadaveric donor

Donor nephrectomy, donor hepatectomy

04/10 CB 7172814 Cotterell/Quinn Living donor Living donor nephrectomy

04/10 ME 7172671 Cotterell/Posner/Quinn

ESLD Deceased donor liver transplant

04/10 BW 6684358 Posner/Trebska ESRD Peritoneal dialysis catheter placement

DATE PT/MRN Att/Res DX PROCEDURE

04/10 MH 6495812 Posner/Quinn ESRD AV fistula

04/11 LR 7328461 Fisher/Kim/Quinn Hepatic adenoma

Tumor resection, Partial hepatectomy, incidental cholecystectomy

04/12 AV7246284 Cotterell/Posner/Kim ESLD Deceased donor liver transplant

04/13 VE 5064066 Cotterell/Trebska ESRD Peritoneal dialysis catheter placement

Complications DATE PT/MRN Att/Res

ComplicationProcedure

4/12 AH 6445654Sharma/Cotterell/Quinn/Kim

Readmission for feverDeceased donor kidney transplant

4/14 BP 4832576 Posner/Fisher/Kim/Quinn

Readmission for fever Living donor kidney transplant

4/08 FC 3619735Cotterell/Sharma/Kim/Quinn

Readmission for feverDeceased donor kidney transplant

CT 3/15

CT 3/15

CT 3/15

MRI 3/15

MRI 4/3

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.