Spontaneous Liver Rupture in the Setting of Autoimmune Disease and Periportal Edema.
autoimmune disease
emergency medicine
hemorrhagic shock
liver rupture
periportal edema
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
accepted:
24
09
2023
medline:
30
10
2023
pubmed:
30
10
2023
entrez:
30
10
2023
Statut:
epublish
Résumé
Spontaneous liver rupture is a rare and life-threatening occurrence associated with high morbidity and mortality. We report a rare case of an elderly patient with a significant history of autoimmune disease who initially presented with cholestatic symptomatology that subsequently resulted in spontaneous liver rupture and hemorrhagic shock. An initial CT scan prior to the rupture showed periportal edema. In a patient with unexplained abdominal pain and imaging findings of periportal edema, emergency providers should have a lower threshold for suspecting the development of liver rupture or other hepatic pathologies. In the case of a potential liver rupture, admission for observation and early resuscitation can prove key to successful treatment.
Identifiants
pubmed: 37900503
doi: 10.7759/cureus.46079
pmc: PMC10610344
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e46079Informations de copyright
Copyright © 2023, Tan et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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