Abstract |
Mitochondrial neurogastrointestinal encephalopathy (MNGIE) is a rare, complex mitochondrial disorder with variable phenotypes caused by a defect in the TYMP gene that codes for the thymidine phosphorylase enzyme. Orthotopic liver transplantation (OLT) has been proposed as a curative option for patients by using the liver as a source to restore thymidine phosphorylase levels in the body. Anesthetic considerations for this syndrome have not been clearly outlined in the past. We describe the clinical presentation of a young woman with MNGIE, her perioperative assessment, and intraoperative management during liver transplantation.
|
Authors | Jai Madhok, Jason Leong, Jed Cohn |
Journal | Cureus
(Cureus)
Vol. 11
Issue 6
Pg. e5038
(Jun 29 2019)
ISSN: 2168-8184 [Print] United States |
PMID | 31501730
(Publication Type: Case Reports)
|