ELLIS L. ROLETT, M.D.; MARVIN H. SLEISENGER, M.D.
Although abdominal pain is common in the preicteric phase of acute viral hepatitis, it is rarely of sufficient intensity to simulate an acute surgical condition; occasionally, however, there is not only severe distress but also marked upper abdominal tenderness, direct and rebound. Because of the dangers in laparotomy in individuals with liver disease, awareness that hepatitis may simulate an abdominal disorder which requires surgery is important. Correct early diagnosis is imperative, and may be facilitated by measurement of serum glutamic oxaloacetic transaminase and the clinical effect of corticotropin (ACTH). Our recent experience with such a patient is reported.
ROLETT EL, SLEISENGER MH. THE DIAGNOSIS OF ACUTE VIRAL HEPATITIS SIMULATING AN ABDOMINAL EMERGENCY: A CASE REPORT1. Ann Intern Med. ;51:1071–1077. doi: 10.7326/0003-4819-51-5-1071
Download citation file:
Published: Ann Intern Med. 1959;51(5):1071-1077.
Gastroenterology/Hepatology, Infectious Disease, Liver Disease, Viral Hepatitis.
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use