JAMMU, Nov 7: Indraprastha Apollo Hospital provided a new lease of life to a 2 year 11-month old toddler from Dhaka, Bangladesh who developed acute liver failure.
Aman Jawad Uddin developed jaundice at end of August which progressively got worse. Due to worsening jaundice, vomiting and irritability, he was admitted in a hospital at Dhaka on September 11, 2017. A diagnosis of acute liver failure due to Hepatitis A was made.
His condition deteriorated to such an extent that he developed coagulopathy (prothrombin time increased to 70 seconds, normal is 13 seconds) and went in to a coma. The family was told that the child needed an urgent liver transplant.
The family contacted Apollo Hospitals and on assessment, a decision for an emergency liver transplant was made. Treatment was initiated to protect his brain from cerebral edema. His mother Tanjim Raha’s liver was found to be appropriate for donation and 36 hours after arriving in Delhi on September 20, the child underwent a living related liver transplant.
The liver transplant was successful and by the 5th day after the operation, his encephalopathy had improved. He started recognizing his parents and speaking.
Speaking about the case, Dr Anupam Sibal, Medical Director, Apollo Hospitals Group and Senior Pediatric Gastroenterologist and Hepatologist, Indraprastha Apollo Hospitals, said, “It was a very critical case because the child was already in Stage 3 Hepatic Encephalopathy. With his condition deteriorating fast, an emergency liver transplantation was the only treatment to save the life of the boy. We were very happy that Aman made a remarkable recovery and he was discharged in 3 weeks.”
Dr Neerav Goyal, Senior Liver Transplant Surgeon at Apollo Hospitals Delhi, said “The child was very sick. We put him on dialysis immediately to stabilize his condition. A liver transplant in a child with acute liver failure is more demanding than a standard liver transplant. Aman’s clotting was severely damaged and that provided extra challenges”.