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Case Reports: Unusual presentation of more common disease/injury
Coeliac axis thrombosis and acute hepatic failure in a patient with dilated cardiomyopathy
  1. Arouba Imtiaz1,
  2. Rhys Morris2 and
  3. Freya Lodge3
  1. 1Cardiff and Vale University Health Board, Cardiff, UK
  2. 2Radiology Registrar, Aneurain Bevan University Health Board, Newport, UK
  3. 3Consultant Cardiologist, Aneurin Bevan University Health Board, Newport, UK
  1. Correspondence to Dr Arouba Imtiaz; Arouba.Imtiaz2{at}wales.nhs.uk

Abstract

We present the case of a female patient in her 40s who presented with jaundice, orthopnoea, paroxysmal nocturnal dyspnoea and bilateral pedal oedema. After extensive investigations, she was diagnosed with hepatic dysfunction, dilated cardiomyopathy (DCM) and coeliac axis thrombosis. Her case was further complicated with episodes of torsades de pointes due to metabolic disturbance, with consequent sudden cardiac arrest. In this case report, we explore the clinical features, pathophysiology and treatment of acute hepatic failure and coeliac axis thrombosis, secondary to DCM and alcoholic liver disease.

  • Heart failure
  • Alcoholic liver disease
  • Venous thromboembolism

https://doi.org/10.1136/bcr-2023-255332

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: FL, AI and RM. The following authors gave final approval of the manuscript: FL, AI and RM.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.