European Journal of Pediatrics

, Volume 151, Issue 10, pp 731–734 | Cite as

Liver dysfunction and acute cardiocirculatory failure in children

  • E. Jacquemin
  • E. Saliba
  • M. H. Blond
  • A. Chantepie
  • J. Laugier
Gastroenterology/Hepatology

Abstract

We report 15 children who developed transient liver dysfunction related to hepatic ischaemia. All patients had cardiocirculatory failure 24 h before the onset of liver injury (day 1). Peak serum values of transaminases occurred between day 1 and day 3: SGOT (mean: 759 IU/l, range: 150–4400); SGPT (418 IU/l, 95–2547). Transaminase values decreased rapidly and normalised from day 6 to day 10. Minimum values of prothrombin test (PT) occurred on day 1 (31%, 10–70) and 13/15 patients had a PT<50% (27%, 10–44). PT values normalized from day 3 to day 10. Hypoglycaemia was present in 8/15 patients on day 1. Liver dysfunction improved after correction of the circulatory failure. These results confirm that transient hepatic dysfunction, probably as a consequence of hepatic hypoperfusion, may occur frequently in children after acute circulatory failure. We conclude that the diagnosis of ischaemic liver injury or shock liver syndrome in children can be made on clinical and biochemical criteria, and that liver biopsy is unnecessary.

Key words

Shock liver syndrome Ischaemic hepatitis Acute cardiocirculatory failure 

Abbreviations

GGT

gamma-glutamyl transpeptidase

PT

prothrombin test

SGOT

serum glutamic oxaloacetic transaminase

SGPT

serum glutamic pyruvic transaminase

SLS

shock liver syndrome

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Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • E. Jacquemin
    • 1
  • E. Saliba
    • 1
  • M. H. Blond
    • 1
  • A. Chantepie
    • 1
  • J. Laugier
    • 1
  1. 1.Intensive Care Unit, Department of PaediatricsClocheville Children's HospitalTours CedexFrance

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