Details of two patients with alcohol-related and mixed aetiology cirrhosis who developed acute-on-chronic liver failure/hepatic decompensation with no obvious precipitants are reported. Cytomegalovirus (CMV) infection or reactivation was diagnosed in both, and required treatment with ganciclovir in one. Both returned to baseline hepatic function and remain well. Physicians should be alert to th...

Hepatic hydrothorax is a complication of liver cirrhosis. Several invasive therapeutic approaches have been performed such as thoracentesis, video-assisted thoracic surgery and repair of the diaphragmatic defects with debatable results. Medical thoracoscopy is a minimally invasive and effective technique with challenging applications that has not been thoroughly used in the treatment of hepatic...

INTRODUCTION Hepatic encephalopathy may be initiated by many factors such as gastrointestinal bleeding, infections, fluid and electrolyte disturbances. Hypokalemia is one of the most commonly encountered electrolyte abnormalities causing hepatic encephalopathy in patients with cirrhosis. CASE PRESENTATION We present the case of a 62-year-old Caucasian man with decompensated liver cirrhosis ha...

In recent years a considerable volume of work has been published on the relationship between portal venous blood-flow and hepatic artery pressure in cases of portal hypertension due to cirrhosis of the liver. As a result of this work, ligation of the hepatic artery has been carried out in the treatment of ascites and oesophageal varices, (Reinhoff, 195I; Berman 1951; Berman and Hull, 1952; Madd...

Primary hepatic angiosarcoma (PHA) is an exceedingly rare and aggressive neoplasm of mesenchymal origin. PHA makes a very small portion primary liver tumors conveys poor prognosis. Symptomatology can be vague often mimics hepatocellular carcinoma upon presentation. Diagnosis requires careful immunohistopathologic confirmation. We present case in patient with abdominal pain suspected underlying ...

Doppler ultrasonography of the hepatic vasculature is an integral part of evaluating precirrhotic and cirrhotic patients. While the reversal of the portal venous flow is a well-recognized phenomenon, other flow patterns, although not as easily understood, may play an important role in assessing the disease status. This article discusses the different characteristic flow patterns observed from t...

By M. NARAYANA PAI, m.b., b.s. King Institute, Guindy, Madras The Takata-Ara reaction was first introduced by Takata (1925) as a laboratory test for differentiation between lobar pneumonia and broncho-pneumonia. In the same year, Takata and Ara (1925) working on spinal fluid introduced a modification of the test, affording a differentiation between the syphilitic and meningitic types of spinal ...

abstract objective: to investigate the anesthesia-postoperative awakening time (at) of hepatitis- related cirrhosis patients and their relations to grading scores, portal venous pressure (pvp), prealbumin (pa), and age, to predict postoperative at and provide a basis for adjustment of anesthetic doses during operation. methods: atotal of 71 patients with hepatic cirrhosis and hypersplenism at a...

Disorders of glucose metabolism, namely glucose intolerance and diabetes, are frequent in patients with chronic liver diseases. In patients with cirrhosis, diabetes can be either a classical type 2 diabetes mellitus or the so-called hepatogenous diabetes, i.e. a consequence of liver insufficiency and portal hypertension. This review article provides an overview of the possible pathophysiologica...

INTRODUCTION Congenital hepatic fibrosis is an uncommon cause of portal hypertension. Despite the presence of portal hypertension, hepatocellular and renal function are usually well preserved. Congenital hepatic fibrosis is included in the group of congenital diseases of fibropolycystic disorders. These include a broad spectrum of clinical diseases which are usually accompanied by hepatic invol...