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02 August 2022: Articles

Hepatic Portal Venous Gas: A Potentially Lethal Sign Demanding Urgent Management

Challenging differential diagnosis, Management of emergency care, Rare disease

Chenxuan Zhou E* , M. Duncan Kilpatrick D , Jessica Burns Williams B , Jeannie F. Rivers B , Thomas A. Miller A

DOI: 10.12659/AJCR.937197

Am J Case Rep 2022; 23:e937197

Table 2. Lab values at admission and during stay.

Lab findingAdmission (Day 1)Day 2Day 9Day 10
Sodium139 mmol/L137 mmol/L148 mmol/L144 mmol/L
Potassium3.9 mmol/L3.6 mmol/L3.7 mmol/L3.9 mmol/L
Chloride109 mmol/L106 mmol/L111 mmol/L106 mmol/L
Carbon dioxide25 mmol/L23 mmol/L27 mmol/L28 mmol/L
Anion gap5 mmol/L8 mmol/L10 mmol/L10 mmol/L
Glucose119 mmol/L161 mg/dL132 mg/dL203 mg/dL
BUN10 mmol/L9 mg/dL17 mg/dL20 mg/dL
Creatinine0.7 mmol/L0.9 mg/dL0.8 mg/dL1.0 mg/dL
GFR140 mL/min/1.73 m105 mL/min/1.73 m121 mL/min/1.73 m93 mL/min/1.73 m
AST21 unit(s)/L
ALT24 unit(s)/L
Alkaline phosphatase78 unit(s)/L
Bilirubin, total0.4 mg/dL
Bilirubin, cConj
Protein, total6.4 g/dL
Albumin2.9 g/dL2.6 g/dL1.9 g/dL2.1 g/dL
Phosphate3.4 mg/dL3.5 mg/dL4.1 mg/dL4.1 mg/dL
Calcium8.9 mg/dL8.4 mg/dL8.5 mg/dL8.9 mg/dL
Magnesium1.9 mg/dL2.0 mg/dL2.4 mg/dL
Hemoglobin12.2 g/dL14.2 g/dL13.9 g/dL14.8 g/dL
MCV96.5 fL94 fL93.8 fL93.6 fL
WBC – white blood cell; BUN – blood urea nitrogen; GFR – glomerular filtration rate; AST – aspartate aminotransferase; ALT – alanine aminotransferase; RBC – red blood cell; MCV – mean corpuscular volume; PLT – platelet; HCT – hematocrit.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923