Ischemic Hepatitis from Aortic Dissection

Letters and Corrections15 March 1989Ischemic Hepatitis from Aortic DissectionBruce R. Leslie, MD, Lionel H. Head, MD, John C. Scharfenberg, MDBruce R. Leslie, MDSearch for more papers by this author, Lionel H. Head, MDSearch for more papers by this author, John C. Scharfenberg, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-6-495_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editor: The diagnosis of aortic dissection may be complicated by a patient's unusual presentation ( 1 ). We report a case of aortic dissection in which the most prominent abnormalities were due to hepatic ischemia.A 5 3-year-old man was hospitalized for nausea and repetitive vomiting of sudden onset that were followed by dull periumbilical pain. His blood pressure was 240/130 mm Hg, and he had epigastric, periumbilical, and right upper quadrant abdominal tenderness. The aspartate aminotransferase level was 1220 U/L; alanine aminotransferase, 1502 U/L; lactate dehydrogenase, 2626 U/L; alkaline phosphatase, 66 U/L; and total bilirubin, 14 µmol/L....References1. DeSanctisDoroghaziAustenBuckley RRWM. Aortic dissection. N Engl J Med. 1987;317:1060-7. CrossrefMedlineGoogle Scholar2. CelloSleisenger JM. The liver in systemic conditions. In: Zakim D, Boy er TD, eds. Hepatology: A Textbook of Liver Disease. Philadelphia: W. B. Saunders; 1982:1230-1. Google Scholar3. HirstJohnsKirne AVS. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine (Baltimore). 1958;37:217-79. CrossrefMedlineGoogle Scholar4. SlaterDeSanctis ER. The clinical recognition of dissecting aortic aneurysm. Am J Med. 1976;60:625-33. CrossrefMedlineGoogle Scholar5. Mudge G. Case records of the Massachusetts General Hospital. N Engl J Med. 1985;312:1560-7. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Ochsner Clinic New Orleans, LA 70121 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDevelopment and Validation of a Diagnostic Model to Predict the Risk of Ischemic Liver Injury After Stanford A Aortic Dissection SurgeryHypoxic hepatitis: a challenging diagnosisHypoxic Liver InjuryThe Liver and Vascular SurgeryType I acute aortic dissection accompanied by ischemic enterocolitis due to blood flow insufficiency in the superior mesenteric arteryMalperfusion of the Thoracoabdominal Vasculature in Aortic Dissection 15 March 1989Volume 110, Issue 6Page: 495-495KeywordsAlanine aminotransferaseBilirubinBlood pressureHepatitis AIschemiaLactate dehydrogenaseNauseaPhosphatasesSerum glutamic oxaloacetic transaminaseVomiting Issue Published: 15 March 1989 PDF downloadLoading ...