Palabras clave
Hepatitis isquémica
Falla cardiaca Ischemic hepatitis
Heart failure
Falla cardiaca Ischemic hepatitis
Heart failure
Cómo citar
Barrera Guarín, C., Araque Esquivel, L. M., Flórez Moncada, A., & Rivera Larios, D. (2016). HEPATITIS ISQUÉMICA SECUNDARIA A INSUFICIENCIA CARDIACA. REPORTE DE UN CASO. Biociencias, 11(2), 109–114. https://doi.org/10.18041/2390-0512/bioc.2.2590
Resumen
La hepatitis isquémica o hipóxica es una entidad clínica caracterizada por una importante elevación de las aminotransferasas de forma aguda y reversible que ocurre en aquellas situaciones que pueden ocasionar una reducción del flujo sanguíneo hepático, especialmente la insuficiencia cardiaca, sin embargo, se trata de un diagnóstico de exclusión ya que deben descartar previamente otras causas potencialmente responsables de una hepatitis aguda, especialmente víricas y farmacológicas. Histológicamente se caracteriza por una necrosis centrolobulillar. Se presenta un caso ingresado en el servicio de medicina interna durante un período de dos meses.
Citas
1. Fuchs S, Bogomolski-Yahalom V, Paltiel O, Ackerman Z. Ischemic hepatitis: clinical and laboratory observations of 34 patients. J Clin Gastroenterol 1998; 26: 183-6.
2. Chalasani N, cummings OW. The liver in systemic illness. In: Zakim D & Boyer TD, Eds: Hepatology: A textbook of liver disease, fourth edition. Philadelphia, Saunders, 2003; 1561-5.
3. Bynum TE, Boitnott JK, Maddrey WC. Ischemic hepatitis. Dig Dis Sci 1979; 24:129.
4. Seeto RK, Fenn B, Rockey DC. Ischemic hepatitis: clinical presentation and pathogenesis. Am J Med 2000; 109:109.
5. Birrer R, Takuda Y, Takara T. Hypoxic hepatopathy: pathophysiology and prognosis. Intern Med 2007; 46:1063.
6. Gibson PR, Dudley FJ. Ischemic hepatitis: clinical features, diagnosis and prognosis. Aust N Z J Med 1984; 14:822.
7. Henrion J, Schapira M, Luwaert R, et al. Hypoxic hepatitis: clinical and hemodynamic study in 142 consecutive cases. Medicine (Baltimore) 2003; 82:392.
8. Henrion J, Descamps O, Luwaert R, Schapira M, Parfonry A, Heller F. Hypoxic hepatitis in patients with cardiac failure: incidence in a coronary care unit and measurement of hepatic blood flow. J Hepatol 1994; 21: 696-703.
9. Henrion J, Luwaert R, Colin L, Schmitz A, Shapira M, Heller Fr. Hypoxic Hepatitis: Prospective, Clinical And Hemodynamic Study Of 45 Cases. Gastroenterol Clin Biol 1990; 14: 836-41.
10. Cohen JA, Kaplan MM. Left-sided heart failure presenting as hepatitis. Gastroenterology 1978; 74:583.
11. Nouel O, Henrion J, Bernuau J, et al. Fulminant hepatic failure due to transient circulatory failure in patients with chronic heart disease. Dig Dis Sci 1980; 25:49.
12. Cassidy WM, Reynolds TB. Serum lactic dehydrogenase in the differential diagnosis of acute hepatocellular injury. J Clin Gastroenterol 1994; 19:118.
13. Giallourakis CC, Rosenberg PM, Friedman LS. The liver in heart failure. Clin Liver Dis 2002; 6:947.
2. Chalasani N, cummings OW. The liver in systemic illness. In: Zakim D & Boyer TD, Eds: Hepatology: A textbook of liver disease, fourth edition. Philadelphia, Saunders, 2003; 1561-5.
3. Bynum TE, Boitnott JK, Maddrey WC. Ischemic hepatitis. Dig Dis Sci 1979; 24:129.
4. Seeto RK, Fenn B, Rockey DC. Ischemic hepatitis: clinical presentation and pathogenesis. Am J Med 2000; 109:109.
5. Birrer R, Takuda Y, Takara T. Hypoxic hepatopathy: pathophysiology and prognosis. Intern Med 2007; 46:1063.
6. Gibson PR, Dudley FJ. Ischemic hepatitis: clinical features, diagnosis and prognosis. Aust N Z J Med 1984; 14:822.
7. Henrion J, Schapira M, Luwaert R, et al. Hypoxic hepatitis: clinical and hemodynamic study in 142 consecutive cases. Medicine (Baltimore) 2003; 82:392.
8. Henrion J, Descamps O, Luwaert R, Schapira M, Parfonry A, Heller F. Hypoxic hepatitis in patients with cardiac failure: incidence in a coronary care unit and measurement of hepatic blood flow. J Hepatol 1994; 21: 696-703.
9. Henrion J, Luwaert R, Colin L, Schmitz A, Shapira M, Heller Fr. Hypoxic Hepatitis: Prospective, Clinical And Hemodynamic Study Of 45 Cases. Gastroenterol Clin Biol 1990; 14: 836-41.
10. Cohen JA, Kaplan MM. Left-sided heart failure presenting as hepatitis. Gastroenterology 1978; 74:583.
11. Nouel O, Henrion J, Bernuau J, et al. Fulminant hepatic failure due to transient circulatory failure in patients with chronic heart disease. Dig Dis Sci 1980; 25:49.
12. Cassidy WM, Reynolds TB. Serum lactic dehydrogenase in the differential diagnosis of acute hepatocellular injury. J Clin Gastroenterol 1994; 19:118.
13. Giallourakis CC, Rosenberg PM, Friedman LS. The liver in heart failure. Clin Liver Dis 2002; 6:947.
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