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Dunbar Syndrome and Hypoxic Hepatitis: An Unusual Presentation
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Faculty of Medicine and Pharmacy, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Faculty of Medicine and Pharmacy, Fez, Morocco
Faculty of Medicine and Pharmacy, Fez, Morocco
Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
Department of Radiology, University Hospital Hassan II, Fez, Morocco
- 1 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 2 Faculty of Medicine and Pharmacy, Fez, Morocco
- 3 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 4 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 5 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 6 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 7 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 8 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 9 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 10 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 11 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 12 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 13 Faculty of Medicine and Pharmacy, Fez, Morocco
- 14 Faculty of Medicine and Pharmacy, Fez, Morocco
- 15 Department of Gastroenterology, University Hospital Hassan II, Fez, Morocco
- 16 Department of Radiology, University Hospital Hassan II, Fez, Morocco
Open Journal of Gastroenterology·Volume 14 (2024)·Pages 226–232·Published 19 June 2024·DOI10.4236/ojgas.2024.146025
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Abstract
Hypoxic hepatitis, also known as ischemic hepatitis, is characterized by acute hepatocellular injury due to inadequate oxygen delivery to the liver. Celiac trunk stenosis can lead to hepatic ischemia and subsequent liver damage. We present the case of an 81-year-old patient with a history of hypertension, ischemic heart disease, hypothyroidism, and biliary lithiasis, who developed hypoxic hepatitis secondary to Dunbar syndrome and a stenosis of the superior mesenteric artery. The patient improved symptoms and liver function tests with conservative management, including intravenous fluids and supportive care. Long-term management involved continued antiplatelet therapy and statins, with consideration of further interventions for celiac trunk stenosis. This case underscores the importance of recognizing Dunbar syndrome as well as superior mesentery trunk stenosis as a potential cause of hypoxic hepatitis. It highlights the need for multidisciplinary management in such cases.
KeywordsDunbar SyndromeHypoxic HepatitisStenosis of Mesentery Artery
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