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17 Possible Causes for Abdominal Pain, Ascites, Liver Biopsy showing Periportal Necrosis

  • Viral Hepatitis

    Cirrhosis was stabilized and significant clinical improvement was achieved in the third patient--who before the virus therapy was moribund with recurring, diuretic-resistant ascites[] Besides features of viral hepatitis, the presence of typical abdominal pain, high serum amylase, and ultrasound or CT scan features suggested the diagnosis of acute pancreatitis[] […] weighting of 23 baseline covariates, statin use was associated with a significant reduction in composite liver decompensation events (HR: 0.55; 95% CI: 0.36-0.83; P .005), ascites[]

  • Hepatitis B

    A patient's underlying liver disease usually worsens during reactivation, and if cirrhosis is present, decompensation may occur with ascites, variceal bleeding, and liver[] Hepatitis B Electron micrograph of hepatitis B virus Specialty Infectious disease, gastroenterology Symptoms None, yellowish skin, tiredness, dark urine, abdominal pain Classification[] Ascites Ascites is a fluid buildup in your belly that comes with bad liver scarring called cirrhosis.[]

  • Primary Sclerosing Cholangitis

    Other indications include hepatic encephalopathy, recurrent cholangitis, and ascites.[] A 39-year-old man presented with diarrhea and abdominal pain.[] He had suffered from repeated abdominal pain and cholangitis for 3 years.[]

  • Aflatoxicosis

    Abstract Parts of Western India have experienced an outbreak of hepatitis affecting man and dogs and characterised by jaundice, rapidly developing ascites, portal hypertension[] Patients will appear ill with fever, jaundice, nausea, vomiting, abdominal pain, and hemorrhagic diathesis, hepatomegaly, and elevated liver function tests.[] With subacute to chronic hepatotoxicosis, the liver may be reduced in size, fibrotic, and ascites may be present.[]

  • Massive Hepatic Necrosis

    A, intraoperative (POD 0) wedge biopsy of the native liver showed massive hepatic necrosis and periportal ductular structure (HE, 200 ).[] Photograph shows a caput medusae accentuated by a large amount of ascites in a patient being prepared for liver transplantation.[] Case Report A healthy, 30-year-old woman at 32 weeks gestation presented to the emergency department with sudden-onset headache and abdominal pain.[]

  • Autoimmune Hepatitis

    In more severe cases, biopsy typically shows periportal necrosis with mononuclear cell infiltrates (piecemeal necrosis) accompanied by variable periportal fibrosis and bile[] Ultrasound revealed cirrhosis, ascites, splenomegaly, and an appro- priately grown singleton gestation.[] Common initial symptoms include fatigue or muscle aches or signs of acute liver inflammation including fever, jaundice, and right upper quadrant abdominal pain.[]

  • Primary Biliary Cirrhosis

    Liver biopsy showed lymphocytic and plasmacytic infiltration in the portal and periportal areas, with numerous areas of bridging centrilobular necrosis, indicating AIH.[] Hepatic fibrosis was not evident, in spite of the transudative ascites and active esophageal varices.[] At 45 years of age, the patient complained of bloody diarrhea and abdominal pain, and she was diagnosed with ulcerative colitis by colonoscopy and histological examination[]

  • Hepatitis A

    Four weeks later she was readmitted to the hospital, this time with signs and symptoms of acute liver failure with ascites, confusion, and jaundice.[] Infectious hepatitis A case of jaundice caused by hepatitis A Specialty Infectious disease, gastroenterology Symptoms Nausea, vomiting, diarrhea, dark urine, jaundice, fever, abdominal[] On examination, he had tachypnea, hepatosplenomegaly, ascites and right-sided pleural effusion.[]

  • Bacterial Hepatitis

    In more severe cases, biopsy typically shows periportal necrosis with mononuclear cell infiltrates (piecemeal necrosis) accompanied by variable periportal fibrosis and bile[] ascites) and patients with gradients lesser than 1.1 g/dl do not (exudative ascites).[] pain WHO fact sheet of hepatitis Viral Hepatitis at the Centers for Disease Control[]

  • Isoniazid Hepatitis

    It diffuses readily into all body fluids (including cerebrospinal, pleural, and ascitic), tissues, organs, and excreta (saliva, sputum and feces).[] Seven patients initially experienced excess fatigue, nausea, or abdominal pain, but waited until the onset of jaundice before seeking medical attention.[] Patients with ALF due to DILI are more likely to develop ascites, infection, and renal insufficiency as preterminal complications.[]

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