title: Ischemic hepatitis secondary to cardiac tamponade, a rare cause
abstract: Ischemic hepatitis (IH) is a rare entity, usually associated with hypoperfusion secondary to low cardiac output (congestive heart failure, acute myocardial infarction or dilated cardiomyopathy), followed in frequency by respiratory insufficiency and sepsis.
  A 49-year-old man presented at the emergency room with progressive dyspnea and hypotension, objectifying a significant increase in transaminases (aspartate transferase 5.550 U / L, alanine transferase 3.826 U / L) and LDH (10.375 U / L). Liver Doppler ultrasound was normal. The echocardiogram confirmed the suspected diagnosis of massive pericardial effusion. Cardiac tamponade is a rare cause for this clinical picture. In the case of our patient, rapid diagnosis and urgent pericardiocentesis led to his prompt recovery.
authors.affiliation: . sgesarte@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Goñi Esarte
authors.forename: J M
authors.initials: JM
authors.lastname: Zozaya Urmeneta
authors.forename: M
authors.initials: M
authors.lastname: Goñi Esarte
authors.forename: J I
authors.initials: JI
authors.lastname: Úriz Otano
authors.forename: I
authors.initials: I
authors.lastname: Idoate Santesteban
authors.forename: M T
authors.initials: MT
authors.lastname: Beunza Pujol
mesh_terms: D002305:Cardiac Tamponade / Q000150:complications*; D006505:Hepatitis / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008099:Liver / Q000098:blood supply*; D008297:Male; D008875:Middle Aged