Citation

Hagiwara S, Kaneko M, Murata M, Ikegami T, Oshima K. Hippokratia 2014; 18(1): 71-73.

Copyright

(Copyright © 2014, Hippokratio General Hospital of Thessaloniki)

DOI

unavailable

PMID

unavailable

Abstract

BACKGROUND: Severe liver dysfunction caused by acetylsalicylic acid (ASA) is quite rare. The purpose is to describe a patient with severe liver dysfunction due to excessive intake of ASA in a suicide attempt, who was successfully treated with living donor liver transplantation (LDLT). Description of Case: We report a 20-year-old woman who took 66 g of ASA in a suicide attempt. She was admitted to our hospital and received forced alkaline diuresis. However, her liver and renal functions worsened after admission. On the 6th day after intake of ASA, she was transferred to the intensive care unit, and plasma exchange (PE) and continuous hemodiafiltration were performed. Since her liver function did not recover despite repeated PE, she was transferred to another hospital for LDLT on the 8th day. She underwent LDLT with a portion of the liver donated from her mother on the 11th day. After the operation, her renal dysfunction continued. Her renal parameters gradually improved, and she was discharged on the 44th post-operative day without renal dysfunction.

CONCLUSION: PE is effective in removing ASA from blood. Liver transplantation is the only effective treatment if liver function does not recover in spite of repeated PE.

Language: en

Keywords

adult; human; female; case report; liver failure; suicide attempt; disease severity; liver transplantation; drug overdose; article; human cell; human tissue; physical examination; intensive care unit; acetylsalicylic acid; drug blood level; computer assisted tomography; alanine aminotransferase; aspartate aminotransferase; plasmapheresis; Glasgow coma scale; diuresis; metabolic acidosis; Liver transplantation; histopathology; respiratory alkalosis; hepatic encephalopathy; living donor; blood gas analysis; international normalized ratio; continuous hemodiafiltration; prothrombin time; young adult; Toxicosis; Acetylsalicylic acid; Liver dysfunction; liver cell; forced alkaline diuresis; severe renal impairment