Transient Arginine Vasopressin Deficiency in Living-donor Liver Transplant Recipient: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Fluid and electrolyte imbalance is a common postoperative complication due to varied etiology, ranging from intravenous fluid administration, endocrine imbalance, osmotic diuresis, and so on steroids.Postoperative diabetes insipidus (DI) can present along with other features of pituitary insufficiency and is common after neurosurgical procedures.We present a unique case report of transient DI in a living-donor liver transplant (LDLT) recipient.The patient's intraoperative period was relatively uneventful.DI developed on the third postoperative day, was not associated with other features of pituitary insufficiency, was transient, and resolved with desmopressin supplementation.This uncommon presentation during the early postoperative phase of a liver transplant recipient adds to existing challenges.It is vital for intensive care physicians and anesthesiologists to be aware of this uncommon differential diagnosis, which can significantly affect hemodynamics, the requirement for vasopressors, and electrolyte balance in the postoperative period.Prompt recognition is vital to administer timely therapeutic measures to improve overall outcomes in LDLT recipients.
Source: Journal of Acute Care
Authors: Sunil Karanth, Mahesha Padyana, Vinay Krishnamurthy, Narendra Prasad C, Rajiv Lochan
Institution: Manipal Hospital
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4410216461