Surgical presentation of ischaemic hepatitis

被引：2

作者：

Powell, L ^{[1
]}

Tesfaye, S ^{[1
]}

Ackroyd, R ^{[1
]}

Sanders, DS ^{[1
]}

机构：

[1] Royal Hallamshire Hosp, Gastroenterol & Liver Unit, Dept Med, Sheffield S10 2JF, S Yorkshire, England

来源：

POSTGRADUATE MEDICAL JOURNAL | 2003年 / 79卷 / 932期

关键词：

D O I：

10.1136/pmj.79.932.350

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Intestinal ischaemia typically presents with signs suggestive of an acute surgical abdomen. A raised serum lactate may substantiate the diagnosis. The first case of ischaemic hepatitis mimicking intestinal ischaemia is reported. The recognition of markedly deranged transaminases allows the clinician to differentiate the two diagnoses and potentially avoid the risks incurred with laparotomy.

引用

页码：350 / 351

页数：2

共 9 条

[1] ISCHEMIC HEPATITIS [J].

BYNUM, TE ;

BOITNOTT, JK ;

MADDREY, WC .

DIGESTIVE DISEASES AND SCIENCES, 1979, 24 (02) :129-135

[2] ACUTE MESENTERIC ISCHEMIA - ANGIOGRAPHIC SPECTRUM [J].

CLARK, RA ;

GALLANT, TE .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1984, 142 (03) :555-562

[3] Ischemic hepatitis - Clinical and laboratory observations of 34 patients [J].

Fuchs, S ;

Bogomolski-Yahalom, V ;

Paltiel, O ;

Ackerman, Z .

JOURNAL OF CLINICAL GASTROENTEROLOGY, 1998, 26 (03) :183-186

[4] ISCHEMIC HEPATITIS - CLINICAL-FEATURES, DIAGNOSIS AND PROGNOSIS [J].

GIBSON, PR ;

DUDLEY, FJ .

AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 1984, 14 (06) :822-825

[5]

GITLIN N, 1992, AM J GASTROENTEROL, V87, P831

[6] HYPOXIC HEPATITIS IN PATIENTS WITH CARDIAC-FAILURE - INCIDENCE IN A CORONARY-CARE UNIT AND MEASUREMENT OF HEPATIC BLOOD-FLOW [J].

HENRION, J ;

DESCAMPS, O ;

LUWAERT, R ;

SCHAPIRA, M ;

PARFONRY, A ;

HELLER, F .

JOURNAL OF HEPATOLOGY, 1994, 21 (05) :696-703

[7]

Newman TS, 1998, AM SURGEON, V64, P611

[8]

OTTINGER LW, 1967, SURG GYNECOL OBSTETR, V124, P251

[9] Ischaemic hepatitis in the elderly [J].

Rashed, KA ;

McNabb, WR ;

Lewis, RR .

GERONTOLOGY, 2002, 48 (04) :245-249

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