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Ischemic hepatitis: causes, symptoms, diagnosis, treatment
Last reviewed: 23.04.2024
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[What causes ischemic hepatitis?
The most common causes of ischemic hepatitis are a decrease in cardiac output, systemic hypotension and systemic hypoxia. Centrizonal necrosis develops without inflammation of the liver. A high level of aminotransferase is the only indication of hepatitis.
Where does it hurt?
Diagnosis of Ischemic Hepatitis
Ischemic hepatitis can be suspected in patients with systemic hypoperfusion. Within a few hours, the level of serum aminotransferases (almost 200 times) together with LDH increases. Serum bilirubin increases only 4 times. If perfusion is restored, the level of aminotransferases decreases within 1-2 weeks.
What do need to examine?
How to examine?
Treatment of ischemic hepatitis
Treatment is aimed at eliminating the underlying cause. In most cases, the function of the liver is completely restored. In patients with cirrhosis of the liver, fulminant hepatic insufficiency may develop.