Unusual form of presentation of an alcoholic liver disease

Authors

  • António Aragão Interno do Internato Complementar de Medicina Interna, Serviço de Medicina I, Hospitais da Universidade de Coimbra, Coimbra, Portugal
  • Lélita Santos consultora de Medicina Interna dos Hospitais da Universidade de Coimbra
  • Raúl Ferreira Consultor de Medicina Interna dos Hospitais da Universidade de Coimbra
  • Maria Helena Saldanha Directora de Serviço, Serviço de Medicina I dos Hospitais da Universidade de Coimbra

Keywords:

alcoholic liver disease, radionuclide scanning, liver transplantation

Abstract

The authors presenta case of a 38 years old man admitted to the Medicine I department of the Coimbra University Hospital for a left thigh hematoma. The patient was a alcohol heavy drinker and the physical examination showed a large thigh hematoma, jaundice and hepatomegaly. Laboratory findings revealed a severe coagulopathy. By lack of efficacy of medical support treatment the thigh

hematoma was submited a surgical drainage. After few days the hematoma was formed again anda radiolabeled erythrocyte scanning detected alarge and tortuous umbilical vein. An abnormal umbilical-iliacvein shunt detected by ultrasonography and arteriography explained the reason for the appearance of the thigh hematoma. The patient was proposed for liver transplant but died in the pos­ operatory of porto-cava systemic shunt that should precede thetransplantation.

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References

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Additional Files

Published

1999-03-31

How to Cite

1.
Aragão A, Santos L, Ferreira R, Saldanha MH. Unusual form of presentation of an alcoholic liver disease. RPMI [Internet]. 1999 Mar. 31 [cited 2024 Nov. 17];6(1):33-7. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2034

Issue

Vol. 6 No. 1 (1999): Janeiro/ Março

Section

Case Reports

License

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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