Successful outcome following transplantation of an injured liver from a nonheart beating donor

Nonheart beating donation (NHBD) of the liver is a relatively new potential source of grafts. Guidelines to indications and contraincdications to donation from controlled nonheart beating donors are still being formulated. We report a successful case of transplantation of a liver from a controlled nonheart beating donor who sustained significant injuries following a road traffic accident. Emergency laparotomy with peri-hepatic packing was performed to control haemorrhage from lacerations in segments VI and VII. Forceful packing resulted in an area of focal ischaemia in segment VI. Trauma to the liver should not be considered an absolute contraindication to controlled NHBD.