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Updated: Apr 20, 2026

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Ischemic hepatitis after percutaneous nephrolitotomy: A case report.

Mustafa Zafer Temiz1, Emrah Yuruk2, Kutlu Teberik1

  • 1Department of Urology, Bitlis State Hospital, Besminare Mh. 13000, Besminare/BITLIS, Turkey.

International Journal of Surgery Case Reports
|December 2, 2014
PubMed
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Ischemic hepatitis (IH), liver cell necrosis due to low blood flow, can occur after procedures like percutaneous nephrolithotomy (PNL). Promptly correcting hypotension is key to recovery.

Area of Science:

  • Hepatology
  • Nephrology
  • Critical Care Medicine

Background:

  • Ischemic hepatitis (IH) involves liver cell necrosis from hypoperfusion.
  • Diagnosis relies on biochemical markers due to subtle symptoms.
  • Poor outcomes occur if hypotension and liver anoxia are not addressed.

Purpose of the Study:

  • To report a case of acute ischemic hepatitis following percutaneous nephrolithotomy (PNL).
  • To highlight the association between severe hemorrhage during PNL and IH.
  • To emphasize the importance of considering IH in post-PNL hypotension.

Main Methods:

  • Case report of a 64-year-old female patient.
  • Patient underwent percutaneous nephrolithotomy (PNL) for a renal pelvic stone.
  • Diagnosis of acute IH was made on the first postoperative day due to severe hypotension from hemorrhage.
Keywords:
HemorrhageIschemic hepatitisPercutaneous nephrolithotomy

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Main Results:

  • The patient developed acute ischemic hepatitis post-PNL.
  • Hemodynamic parameters were restored.
  • Complete recovery was observed within 2 weeks.

Conclusions:

  • Ischemic hepatitis is a common cause of elevated aminotransferases.
  • It results from hypoxemia and insufficient hepatic perfusion.
  • Stabilizing hemodynamics is the primary treatment for IH.