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Emphysematous hepatitis: a very rare entity with a poor prognosis
Beatriz Estébanez-Ferrero1, Orlando Fuentes-Porcel2, Miguel Ángel Lorenzo-Liñán2
1Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecárdenas, españa.
Revista Espanola De Enfermedades Digestivas
|March 18, 2021
Summary
A 67-year-old female experienced syncope, abdominal pain, and vomiting. This case highlights the importance of considering serious underlying conditions in emergency presentations.
Area of Science:
- Emergency Medicine
- Internal Medicine
- Clinical Case Study
Background:
- A 67-year-old female with no prior metabolic or significant medical history presented with acute symptoms.
- The patient reported a syncopal episode followed by abdominal pain and vomiting.
Observation:
- Physical examination revealed a patient in poor general condition, with mild stupor.
- Abdominal examination showed distension and tenderness in the right hypochondrium with localized rigidity.
- Vital signs on arrival included elevated blood pressure (150/66 mmHg) and heart rate (110 bpm), with a low-normal temperature (35 °C).
Findings:
- The clinical presentation suggested an acute intra-abdominal process.
- The combination of syncope, abdominal pain, and localized rigidity indicated a potentially serious condition requiring urgent evaluation.
Implications:
- This case underscores the need for prompt and thorough diagnostic workup in the emergency department for patients presenting with non-specific but severe symptoms.
- Early recognition and management are crucial for improving patient outcomes in critical abdominal conditions.
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