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Hypoxic hepatitis in an extensive aortic disecction: case report
Alvaro Bellido-Caparó1, Maria T Gamero2, Jorge Espinoza-Ríos3
1Divisionof Gastroenterology, Hospital Cayetano Heredia. Lima, Peru; Faculty Member, School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru.
Abstract:
Hypoxic hepatitis is an uncommon cause of hepatic damage characterized by a centrolobular necrosis. Its pathophysiology remains unclear. Aortic dissection is a rare but frequently catastrophic event. It is caused by an aortic intimal tear with propagation of a false channel in the media. Depending on the site and extension, it can cause hypoperfusion of any organ leading to cellular ischemia and necrosis. We are presenting a case of hypoxic hepatitis in a patient with an extensive aortic dissection who present to the emergency department.
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