Ischemic hepatitis: widening horizons.

摘要: Ischemic hepatitis is not an uncommon complication of reversible severe hypotension or cardiac failure. The prognosis usually determined by the cause initial failure, rather than subsequent hepatic dysfunction. We report a retrospective analysis nine patients with ischemic in which previously unreported clinical and biochemical abnormalities are noted. course were reviewed until recovery death from hepatitis. All had rapid striking elevation aspartate aminotransferase, lactic dehydrogenase, equally resolution these parameters. Abnormal serum glucose levels occurred six (none whom prior carbohydrate intolerance). Insulin therapy was given to three for limited period. Renal impairment manifest all patients, it resolved spontaneously within 10 days. Altered mental status detected patients; changes reverted normal 7 days their onset. A preexisting anemia (hemoglobin less 11.0 g/dl) noted on admission four did appear potentiate manifestations ischemia. conclude that should be anticipated recent history systemic hypotension. It considered differential diagnosis unexplained hepatitis; early massive rise fall transaminases, mild/moderate renal failure strongly suggest Patients can confusion, hyperglycemia may require insulin its control.