RESUMO
A 2-yr-old child with early onset diabetes and hypothyroidism,and diagnosed as Wolcott-Rallison Syndrome, developed twoepisodes of acute liver failure and recovered, but he remains athigh risk of developing another episode of acute liver failure.Autoimmune, metabolic or genetic disorders should be evaluatedin children with recurrent acute liver failure and genetic testsneeds to be considered
RESUMO
Background: Auxiliary partial orthotopic liver transplantation is a technique where part of diseased native liver is removed and replaced with healthy donor liver so that, the left behind native liver could later regenerate. Case characteristics: 2½-year-old girl with acute liver failure due to Hepatitis A. She underwent a successful auxiliary partial orthotopic liver transplantation. Outcome: Successful native liver regeneration and immunosuppression withdrawal after two and half years of surgery. Message: In selective cases of acute liver failure, auxiliary partial orthotopic liver transplantation could provide a chance for native liver regeneration and immunosuppression-free life.