A.A. Kirshin1,2, M.M. Minnullin1,2, A.R. Kirshina1

1Republican Clinical Hospital, Kazan2Kazan (Volga Region) Federal University, Institute of Fundamental Medicine and Biology, Kazan

Kirshin Aleksandr A. ― Head of Surgical Department №2 of the Republican Clinical Hospital, Assistant of the Department of Surgical Diseases of Postgraduate Education of Kazan (Volga Region) Federal University, Institute of Fundamental Medicine and Biology

138A Orenburgskiy trakt, Kazan, 420064, Russian Federation, tel. +7-912-467-52-79, e-mail: kirshinalex80@mail.ru, SPIN-code: 3854-0649, Author ID: 1044593, ORCID ID: 0000-0002-3322-4284, SCOPUS ID: 57215966198, Web of Science Researcher ID: AAI-6509-2021

Abstract. Liver transplantation is the only effective and radical way to treat end-stage patients with various chronic liver diseases. At the same time, this type of high-tech surgical intervention carries potential risks of postoperative complications of a vascular and biliary genesis, specific for solid organ transplantation. Depending on the type of transplant (whole cadaveric liver or liver fragments from a living donor), the frequency of biliary complications ranges from 10-15 to 40%, vascular complications ― 9-13%, respectively. The clinical observation presented in the article demonstrates a complication rare for liver transplantation in the form of spontaneous rupture of the spleen, as well as a more typical complication ― the failure of the biliary anastomosis. Understanding the causes and mechanisms of the development of pathological conditions arising after surgery can contribute to their effective prevention and improvement of immediate results.

Key words: liver transplantation, spontaneous rupture of the spleen, biliary anastomosis failure.