Acute liver failure and seizure: a case report of an unusual presentation of acute painless aortic dissection.

ABSTRACT:

Background

Painless aortic dissection presenting with seizure and acute liver failure is uncommon. We described a case of early recognition leading to successful treatment of painless aortic dissection with atypical presentation.

Case summary

A young lady presented with generalized tonic-clonic seizures coupled with hepatitic pattern of deranged liver function test. Examination revealed blood pressure of 99/75 mmHg and hepatic flap. Electrocardiography showed sinus tachycardia. Urgent bedside echocardiography showed preserved cardiac function without significant valvular pathology, but noted a moderate pericardial effusion. Abdominal Ultrasound excluded liver cirrhosis or biliary obstructions. Viral hepatitis serologies and anti-liver panel were negative. She was progressive

SUBMITTER: Qiu TY 

PROVIDER: S-EPMC7898567 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature