EDITOR'S QUIZ: GI SNAPSHOT
Abnormal liver function
Department of Gastroenterology, Changhua Christian Hospital, Changhua, Taiwan, ROC
Correspondence to:
Correspondence to:
Dr H-H Yen
Changhua Christian Hospital, 135 Nanhsiao Street, Changhua 500, Taiwan, ROC; 91646@cch.org.tw
| The first 150 words of the full text of this article appear below. |
A 58-year-old man was found lying beside his motorcycle in February 2006. A brain CT scan was performed in the hospital because of unsteady gait and one-sided weakness. Left occipital intracranial haemorrhage and cerebellar infarction were diagnosed, and he was admitted to the neurosurgical intensive care unit. He had a 10-year history of hypertension and no known liver disease or excessive alcohol consumption. Leucocytosis (white cell count 22 300 cells/mm3) with left shift (band form 25%), and thrombocytopenia (platelet count 62 000/mm3) were found along with abnormal renal function (creatinine level 3.6 g/dl) on admission. In addition, abnormal liver function was also found (aspartate aminotransferase/alanine aminotranferease (AST/ALT) 70/155 IU/l, total bilirubin, 5.5 mg/dl). Serological tests for viral hepatitis were negative. Abdominal ultrasound examination disclosed mild heterogeneous echogenicity of the liver. Further examination with abdominal CT (figs 1
and 2) was performed to evaluate the lesion.
Figure 1 Abdominal CT | |||||||||
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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2007 56: 999.[Extract] [Full Text] [PDF]
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