Document Detail

Chronic pericardial constriction induced severe ischemic hepatitis manifesting as hypoglycemic attack.
MedLine Citation:
PMID:  19001747     Owner:  NLM     Status:  MEDLINE    
Ischemic hepatitis, otherwise known as "shock liver", is characterized by a massive, but transient increase in serum transaminase levels, usually associated with cardiac failure. A patient who did not have a predisposition to hypoglycemia was discovered at home with disturbed consciousness caused by hypoglycemia. She had been diagnosed as having constrictive pericarditis several years earlier and had developed ischemic hepatitis. Though the high serum transaminase levels were rapidly normalized, severe jaundice gradually developed and the patient finally died of multiple organ failure. Hypoglycemia, which is considered secondary to reduced gluconeogenesis in the exhausted liver, is a rare complication of constrictive pericarditis.
Tetsuya Nomura; Natsuya Keira; Yota Urakabe; Daisuke Naito; Mayuka Nakayama; Atsumichi Kido; Hidetoshi Kanemasa; Hiroaki Matsubara; Tetsuya Tatsumi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-11
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  73     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-26     Completed Date:  2009-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  183-6     Citation Subset:  IM    
Department of Cardiovascular Medicine, Nantan General Hospital, Nantan, Japan.
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MeSH Terms
Chronic Disease
Disease Progression
Fatal Outcome
Hepatitis / diagnosis,  etiology*
Hypoglycemia / diagnosis,  etiology*
Ischemia / diagnosis,  etiology*
Jaundice / diagnosis,  etiology
Liver / blood supply*
Middle Aged
Pericarditis, Constrictive / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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