Laramore AP, Rubinas TC, Varnholt H

Language: English
References: 0
Page: 241
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A 39 year old woman with known HIV infection was admitted to the hospital with altered mental status, worsening abdominal pain and abdominal distension. Admission laboratory data were significant for lactic acidosis, prolonged bleeding parameters and elevated liver function tests (AST 204 U/L, ALT 401 U/L, Alk Phos 533 U/L, GGT 247 U/L). The diagnosis of ischemic bowel was entertained and the patient underwent an exploratory laparotomy, which revealed abdominal compartment syndrome, partial small bowel obstruction and retroperitoneal and mesenteric lymphadenopathy. Multiple needle core biopsies of the liver were obtained intraoperatively.