Etiology and Management of Altered Mental Status in a Patient Post-Liver Transplant
This is a 47 y.o. female with a history of end-stage liver disease who developed altered mental status following deceased donor liver transplant. Her change in mentation was likely multifactorial in nature; a range of potential etiologies included rejection, infection, hepatic encephalopathy, delirium, stroke, drug-induced, and postoperative complications. She was not found to be in acute rejection and her mentation ultimately improved following coil embolization of a large splenorenal shunt and ERCP with stent placement. In this case presentation, we review important considerations in identifying and managing the root of altered mental status following liver transplant.
Vrtar A, Lau S, Asbahi MF. Etiology and management of altered mental status in a patient post-liver transplant. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 15; San Francisco, CA.