:: Volume 20, Issue 1 (4-2012) ::
Journal of Ilam University of Medical Sciences 2012, 20(1): 18-25 Back to browse issues page
Primary Biliary Cirrhosis Accompanied With Celiac: A Case Report
M Nazari Moghadam , A Jafari Haidarlo * 1, AH Habibi , A Mahjar Ali , B Omidbakhsh , P Asadollahi
1- , AliHaidarlo@yahoo.com
Abstract:   (17642 Views)
The incidence rate of Primary Biliary Cirrhosis (PBC) is 100 to 200 cases per 1,000,000 individuals and the majority of cases are reported among women with the mean age of about 50 years. Cholestatic properties are predominant in PBC and this disease is usually detected by progressive hepatic failure. The current case was about a 57-years-old woman presented with a sudden decrease in consciousness level, who had experienced a cholecystectomy operation 1 week prior to admission due to severe abdominal symptoms. Brain CT-Scan and LP were normal and the neuro-logic examinations were also symm-etrical. The patient was treated primarily for basilar infarction disease. As the levels of serum ALK. P, AST and ALT increased, hepatic encephalopathy was considered the possible cause of decrease in the consciousness level. Following compl-ementary examinations and the dia-gnosis confirmation, the patient's consciousness level was restored to normal after the treatment of hepatic enceph-alopathy. Ultrasonography showed a small liver with rough parenchymal appearance (considered hepatic cirrhosis). PBC was reported as the main cause of hepatic cirrhosis in path-ologic examinations. Further assessments showed that the patient was also suffering from celiac sprue
Keywords: acute cholesistitis, conscious-sness fall, hepatic encephalopathy, primary biliary cirrhosis, celiac sprue
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Type of Study: case report | Subject: General
Received: 2012/05/26 | Published: 2012/04/15

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Volume 20, Issue 1 (4-2012) Back to browse issues page