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27 February 2024 : Case report  

Successful Sequential Liver and Isolated Intestine Transplantation for Mitochondrial Neurogastrointestinal Encephalopathy Syndrome: A Case Report

Chandrashekhar A. Kubal ORCID logo1ABCDEF*, Plamen Mihaylov1BC, Riley Snook ORCID logo2ACE, Daiki Soma1ACD, Omer Saeed3ACDE, Zachary Rokop1ABE, Marco Lacerda4AEF, Brett H. Graham ORCID logo5ADE, Richard S. Mangus ORCID logo1ADE

DOI: 10.12659/AOT.941881

Ann Transplant 2024; 29:e941881

Figure 1 Native intestine(A) H&E-stained full-thickness native jejunum showing thinned external layer of muscularis propria with muscle loss and fibrosis on the left (arrow points to remaining bundle of muscle in the midst of fibrosis). (B) Normal intestine biopsy for comparison showing normal external layer of muscularis propria (100×). (C) Trichrome stain showing replacement of most of the external layer of muscularis propria by fibrosis (blue color, arrows). (D) Normal muscularis propria for comparison. (40×). (E) CD117 stain for interstitial cells of Cajal (stain cells brown to black, arrow) showing marked reduced number of cells in the myenteric plexus and inner circular layer (100×). (F) normal distribution of cells of Cajal for comparison.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358