Surgical presentation of ischaemic hepatitis.
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.
Powell
L
L
Department of Medicine, Royal Hallamshire Hospital, Sheffield, UK.
Tesfaye
S
S
Ackroyd
R
R
Sanders
D S
DS
D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D017091:Colitis, Ischemic / Q000175:diagnosis; D003937:Diagnosis, Differential; D006505:Hepatitis / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000601:surgery; D008099:Liver / Q000098:blood supply*; D008297:Male; D000637:Transaminases / Q000378:metabolism
D000637:Transaminases