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©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Aug 21, 2006; 12(31): 5091-5093
Published online Aug 21, 2006. doi: 10.3748/wjg.v12.i31.5091
Published online Aug 21, 2006. doi: 10.3748/wjg.v12.i31.5091
Diabetes mellitus with hepatic infarction: A case report with literature review
Yong-Gui Deng, Zhan-Sheng Zhao, Mian Wang, Sheng-Ou Su, Xi-Xian Yao, Department of Endocrinology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Yong-Gui Deng, Department of Endocrinology, The Second Hospital of Hebei Medical University, 215 Hepingxilu, Shijiazhuang 050000, Hebei Province, China. dcyongguideng@yahoo.com.cn
Telephone: +86-311-87222953
Received: April 13, 2006
Revised: June 10, 2006
Accepted: June 16, 2006
Published online: August 21, 2006
Revised: June 10, 2006
Accepted: June 16, 2006
Published online: August 21, 2006
Abstract
Hepatic infarction rarely occurs due to the double supply of arterial and portal inflow. A 53-year-old man with diabetes mellitus developed multiple hepatic infarctions after an episode of fever and diarrhea. The infarction was documented by pathology after partial liver resection. Several causes of hepatic infarction may present in this patient: dehydration and hypotension caused by fever and diarrhea, type 2 diabetes and administration of glibenclamide, diabetic ketoacidosis and widespread atherosclerosis. We suggest that diabetic patient with elevated liver enzyme should be considered the possibility of hepatic infarction.