Brazilian Patient Completes First Stage of Rare Five-Organ Transplant

Overview

• On Tuesday, surgeons transplanted the stomach, liver, intestine and pancreas from a single compatible donor, and the kidney graft is scheduled for today to prevent immediate drug overload.
• Doctors plan to return him to the operating room on Saturday for abdominal closure if his condition allows.
• The 35-year-old architect, Luiz Perillo, has thrombophilia with portal vein compromise, spent over two years continuously hospitalized, and depended on parenteral nutrition and hemodialysis.
• The operation follows a February Ministry of Health decision that brought multivisceral and intestinal transplants under SUS funding, though only about five hospitals perform these procedures.
• Multivisceral transplants remain uncommon in Brazil, with 9.4 thousand total transplants in 2024 but only two of this type, and the family publicly thanked the relatives of the 21-year-old donor.