title: A case of ischemic hepatitis.
abstract: We present a case of an obese young man who developed ischemic hepatitis, severe coagulopathy, acute renal failure, and encephalopathy. Heart failure and hypovolemia were absent. Oxygen arterial saturation was very low, between 77% and 99% during the day, with no history of respiratory failure. A diagnosis of obstructive sleep apnea was made clinically and confirmed by performing formal polysomnography. The polysomnographic study showed multiple episodes of apneas and hypopneas with severe oxygen desaturation. The patient was treated with continuous positive airway pressure through a nose mask and clinical manifestations related to profound nocturnal desaturation were ameliorated. He was discharged 32 days after admission with normal results of laboratory tests. This case report is presented to support the hypothesis that hypoxic hepatitis was directly related to severe arterial hypoxemia.
authors.affiliation: Laboratory of Sleep, Division of Pulmonology, University Hospital of Patras Medical School, Patras, Greece. gtrakada@hotmail.com
authors.forename: Georgia
authors.initials: G
authors.lastname: Trakada
authors.forename: Charis
authors.initials: C
authors.lastname: Gogos
authors.forename: Maria
authors.initials: M
authors.lastname: Tsiamita
authors.forename: Dimitris
authors.initials: D
authors.lastname: Siagris
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Goumas
authors.forename: Kostas
authors.initials: K
authors.lastname: Spiropoulos
mesh_terms: D000328:Adult; D006505:Hepatitis / Q000150:complications*; D006801:Humans; D000860:Hypoxia / Q000150:complications; D007511:Ischemia / Q000150:complications*; D008099:Liver / Q000098:blood supply*; D008297:Male; D051437:Renal Insufficiency / Q000150:complications; D020181:Sleep Apnea, Obstructive / Q000150:complications