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Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
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[Ischemic hepatitis. Clinico-pathological presentation of 2 cases]

H Loosli, T T Nguyen

    Schweizerische Medizinische Wochenschrift
    |April 4, 1981
    PubMed

    Insights

    Congestive heart failure can lead to ischemic hepatitis, a condition also known as shock liver. This occurs due to liver perfusion failure, causing elevated liver enzymes and centrizonal necrosis.

    Area of Science:

    • Hepatology
    • Cardiology
    • Pathology

    Background:

    • Congestive heart failure (CHF) is a complex cardiovascular condition.
    • Viral hepatitis is a common differential diagnosis for elevated liver enzymes.

    Observation:

    • Two female patients with CHF presented with elevated cytolytic hepatic enzymes.
    • Clinical presentation suggested viral hepatitis.

    Findings:

    • Autopsy revealed extensive ischemic centrizonal necrosis (shock liver) in both patients.
    • This pathology indicated liver perfusion failure as the cause.

    Implications:

    • Ischemic hepatitis should be considered in patients with CHF and elevated transaminases.
    • Understanding shock liver is crucial for managing critical care patients.

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