Diabetes mellitus with hepatic infarction: a case report with literature review.
Hepatic infarction rarely occurs due to the double supply of arterial and portal inflow. A 53-year-old man with diabetes mellitus developed multiple hepatic infarctions after an episode of fever and diarrhea. The infarction was documented by pathology after partial liver resection. Several causes of hepatic infarction may present in this patient: dehydration and hypotension caused by fever and diarrhea, type 2 diabetes and administration of glibenclamide, diabetic ketoacidosis and widespread atherosclerosis. We suggest that diabetic patient with elevated liver enzyme should be considered the possibility of hepatic infarction.
Deng
Yong-Gui
YG
Department of Endocrinology, The Second Hospital of Hebei Medical University, 215 Hepingxilu, Shijiazhuang 050000, Hebei Province, China. dcyongguideng@yahoo.com.cn
Zhao
Zhan-Sheng
ZS
Wang
Mian
M
Su
Sheng-Ou
SO
Yao
Xi-Xian
XX
D048909:Diabetes Complications / Q000175:diagnosis; D003920:Diabetes Mellitus / Q000175:diagnosis*; D016883:Diabetic Ketoacidosis / Q000175:diagnosis; D006801:Humans; D007238:Infarction / Q000150:complications / Q000175:diagnosis*; D008099:Liver / Q000201:enzymology / Q000473:pathology*; D008107:Liver Diseases / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods