Abstract:

Abstract: Introduction: Shock liver is characterized by a marked elevation of serum aminotransferase levels in the absence of other potential causes of the liver injury. Peripartum cardiomyopathy (PPCM) is idiopathic heart failure occurring in the absence of any determinable heart disease during the last month of pregnancy or the first 5 months postpartum. Case Presentation: A 27-yr-old woman, 2 months postpartum from an uneventful spontaneous vaginal delivery, with no previous chronic liver and heart disease history was admitted to our hospital with acute hepatitis. Echocardiogram was obtained for evaluation of dyspnea, the patient was found to have severe cardiomyopathy with area length ejection fraction 22%, ejection fraction by m-mode echocardiography 23%. After initiation of appropriate treatment of dilated cardiomyopathy, acute hepatitis is resolved. Discussions and conclusions: Ischemic hepatitis is one of the treatable causes of acute hepatitis and must always be included in the differential diagnosis of acute hepatitis with unknown pathogenesis. Keywords: acute hepatitis, ischemic hepatitis, peripartum cardiomyopathy, dilated cardiomyopathy. The shock liver is characterized by a significant increase in the levels of serum aminotransferase in the absence of other possible causes. Peripartum cardiomyopathy (PPCM) is a condition of idiopathic heart failure that occurs in the absence of cardiovascular disease that can be identified in the last or first 5 months of the postpartum period of pregnancy. A 27-year-old woman with no history of chronic hepatitis and heart disease has been hospitalized with acute hepatitis in 2 months after unfortunate spontaneous vaginal birth. The ecocardiogram was taken to assess breathing difficulty, the patient was diagnosed with severe cardiomyopathy, and the injection fraction was 23% with m-mod ecocardiograph, 22% with area length injection fraction. From the beginning of proper treatment, the sonar acute hepatitis and dilate cardiomyopathy tables have disappeared.Conflict and result: Ischemic hepatitis is one of the treatable causes of acute hepatitis and the cause should always be included in the diagnosis of the unknown acute hepatitis distinctive. Keywords: acute hepatitis, ischemic hepatitis, peripartum cardiomyopathy, dilate cardiomyopathy.

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