Fig. 6

Size incompatibility after living donor liver transplantation: both the donor and the recipient suffered transient hepatic insufficiency. a Axial enhanced CT image of a 26-year-old living liver donor. The total liver volume (TLV) was 1,754 mL. The donated liver volume was 980 mL and the residual liver volume was 774 mL (44.2% of the TLV). b Diagram showing the intended right split liver surgery planned for living donor liver transplantation. c Post-liver transplantation axial enhanced-CT image showing hypertrophied left liver of the donor. d Post-liver transplantation axial enhanced-CT image of a 53-year-old man who was the recipient of the right liver transplant. Although pre-transplant volumetry calculations seemed to indicate that the liver size was appropriate, the patient still developed small-for-size syndrome requiring ligature of the splenic artery. The cause was likely multifactorial. The donor developed transient biological hepatic insufficiency that resolved with supportive management