TITLE:
Dunbar Syndrome and Hypoxic Hepatitis: An Unusual Presentation
AUTHORS:
Hajar Cherkaoui, Ismail Chaouech, Yousra El Abidi, Haroun Robleh, Asmae Lamine, Maria Lahlali, Nada Lahmidani, Amine Mekkaoui, Mounia Elyousfi, Dafr Allah Benajah, Adil Ibrahimi, Mohammed El Abkari, Nizar Bouardi, Mohammed Maaroufi, Hakima Abid
KEYWORDS:
Dunbar Syndrome, Hypoxic Hepatitis, Stenosis of Mesentery Artery
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.14 No.6,
June
25,
2024
ABSTRACT: Hypoxic hepatitis, also known as ischemic hepatitis, is characterized by acute hepatocellular injury due to inadequate oxygen delivery to the liver. Celiac trunk stenosis can lead to hepatic ischemia and subsequent liver damage. We present the case of an 81-year-old patient with a history of hypertension, ischemic heart disease, hypothyroidism, and biliary lithiasis, who developed hypoxic hepatitis secondary to Dunbar syndrome and a stenosis of the superior mesenteric artery. The patient improved symptoms and liver function tests with conservative management, including intravenous fluids and supportive care. Long-term management involved continued antiplatelet therapy and statins, with consideration of further interventions for celiac trunk stenosis. This case underscores the importance of recognizing Dunbar syndrome as well as superior mesentery trunk stenosis as a potential cause of hypoxic hepatitis. It highlights the need for multidisciplinary management in such cases.