Miranda Gonçalo, Dionísio Ana Catarina, Azevedo Constança, Carvalho Eduardo, Semião Miguel, Branco Vítor, Castelo-Branco Miguel
Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilha, Portugal.
Surgery Department, Centro Hospitalar Universitário Cova da Beira, Covilha, Portugal.
Eur J Case Rep Intern Med. 2020 Mar 25;7(5):001539. doi: 10.12890/2020_001539. eCollection 2020.
Emphysematous hepatitis is a rare entity characterized by the replacement of hepatic parenchyma by gas, leading to acute liver failure. Often it occurs in patients with diabetes mellitus, liver disease or a recent history of abdominal surgery. We present a case of emphysematous hepatitis in a 74-year-old man with no recognizable risk factors. Despite the early broad-spectrum antimicrobial therapy and supportive care, the condition progressed to a fatal outcome, as seen in other case reports. Early recognition of this condition and rapid and aggressive management may improve patient outcomes.
Emphysematous hepatitis is a rare condition characterized by replacement of hepatic parenchyma by gas.The diagnosis of emphysematous hepatitis requires imaging, preferably a computed tomography scan.Emphysematous hepatitis warrants awareness among clinicians for early diagnosis and rapid and aggressive management.
气肿性肝炎是一种罕见的病症，其特征是肝实质被气体取代，导致急性肝衰竭。它常发生于糖尿病、肝脏疾病患者或近期有腹部手术史的患者。我们报告一例74岁男性气肿性肝炎病例，该患者无明显危险因素。与其他病例报告一样，尽管早期给予了广谱抗菌治疗和支持治疗，但病情仍进展至致命结局。早期识别这种病症并进行快速、积极的治疗可能会改善患者预后。
气肿性肝炎是一种罕见病症，其特征是肝实质被气体取代。气肿性肝炎的诊断需要影像学检查，最好是计算机断层扫描。气肿性肝炎需要临床医生提高认识，以便早期诊断并进行快速、积极的治疗。
