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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 30-32

Acute liver failure due to hypoxic hepatitis successfully treated with plasma exchange


Department of Surgery and Gastroenterology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India

Correspondence Address:
Allwin James
Department of Surgery and Gastroenterology, Meenakshi Mission Hospital and Research Centre, Melur Main Road, Madurai - 625 107, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ghep.ghep_30_21

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Hypoxic hepatitis (HH) is an uncommon cause for acute liver failure (ALF). It is also called as shock liver, ischemic, or congestive hepatopathy. HH is usually associated with premorbid cardiac illnesses such as acute myocardial infarction, rheumatic cardiac disease, cardiomyopathies, or shock due to any etiology. It occurs when hepatocytes suffer hypoxic or ischemic injury. If the primary disease is treated, the natural history of HH is usually self-limiting. However, in up to half of the patients, it can lead to multiple organ ischemic insults such as worsening liver injury or acute renal failure, where the treatment is based on the major organ of involvement. Here, we present a patient with ALF due to hypoxic liver injury with a primary cardiac disease and a favorable outcome following plasma exchange therapy in our tertiary care center.


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