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Surgical presentation of ischaemic hepatitis

¹ Department of Medicine, Royal Hallamshire Hospital, Sheffield
² Department of Surgery

Correspondence to:
Correspondence to:
Dr D S Sanders, Gastroenterology and Liver Unit, Room P14, P Floor, Royal Hallamshire Hospital, Sheffield S10 2JF, UK;
d.s.sanders28{at}btopenworld.com

ABSTRACT
Intestinal ischaemia typically presents with signs suggestive of an acute surgical abdomen. A raised serum lactate may substantiate the diagnosis. The first case of ischaemic hepatitis mimicking intestinal ischaemia is reported. The recognition of markedly deranged transaminases allows the clinician to differentiate the two diagnoses and potentially avoid the risks incurred with laparotomy.

Keywords: ischaemic hepatitis; hepatitis; intestinal ischaemia; serum lactate

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