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15 March 2022: Case Report

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Uremia, and Insulin-Dependent Diabetes

Xitao Hong 123ABCDEF* , Zhitao Chen 123ABCDE* , Yiwen Guo 123BCDE* , Yuqi Dong 123BC , Xiaoshun He 123AEF* , Maogen Chen 123AEFG , Weiqiang Ju 123ADEFG*

DOI: 10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Table 1 Preoperative laboratory examination results of the patient.

 WBC (×10/L)2.49
 RBC (×10/L)3.30
 Hb (g/L)79
 PLT (10/L)44
 Occult blood++++
 ALT (U/L)27
 AST (U/L)33
 ALB (g/L)37
 ALP (U/L)175
 TBil (umol/L)13.5
 BUN (mmol/L)15.5
 CRE (umol/L)788
 HBV-DNA (U/ml)
 Fasting blood glucose (mmol/L)11.2
 Postprandial blood sugar (mmol/L)19.7
Cirrhosis, ascites, splenomegaly, atrophy of both kidneys, gallbladder polyps and thickening of the gallbladder wall, a slightly larger prostate
Cirrhosis, ascites, portal hypertension, esophageal and gastric varices, thrombosis in the proximal portal vein and superior mesenteric vein, splenomegaly, ascites, atrophy of both kidneys, multiple kidney cysts and stones; abdominal aorta and bilateral common iliac arteriosclerosis
WBC – white blood cells; RBC – red blood cells; Hb – hemoglobin; PLT – platelet; ALT – alanine aminotransferase; AST – aspartate aminotransferase; ALB – albumin; ALP – alkaline phosphatase; TBil – total bilirubin; BUN – blood urea nitrogen; CRE – creatinine; HBsAg – hepatitis B surface antigen; HBeAg – hepatitis B e antigen; HBcAg – hepatitis B core antibody.

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