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 Chen123ABCDE, Yiwen Guo123BCDE, Yuqi Dong123BC, Xiaoshun He123AEF*, Maogen Chen123AEFG, Weiqiang Ju123ADEFG
DOI: 10.12659/AOT.935860
Ann Transplant 2022; 27:e935860
Table 1 Preoperative laboratory examination results of the patient.
| Items | Value |
|---|---|
| WBC (×10/L) | 2.49 |
| RBC (×10/L) | 3.30 |
| Hb (g/L) | 79 |
| PLT (10/L) | 44 |
| Protein | ++ |
| 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 |
| HBsAg | + |
| HBeAg | + |
| HBcAg | + |
| HBV-DNA (U/ml) | <100 |
| 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. | |