Low-Energy Trauma: Severe Liver Injury in an Elderly Patient from a Seated Fall

27 December 2024 : Case report Japan

Unusual clinical course, Challenging differential diagnosis, Management of emergency care

Naoko E. Katsuki

^{ABDEF 1}, Hitoshi Eguchi^{ABDEF 2}, Risa Hirata

^{EF 1}, Hidetoshi Aihara^{AE 1}, Masaki Tago

^{AEG 1*}

DOI: 10.12659/AJCR.946094

Am J Case Rep 2024; 25:e946094

Introduction Case Report Discussion Conclusions References:

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Table 1. Laboratory data of the patient.

	Day 2	Day 3	Reference	Unit
White blood cell	9.0	11.3	3.5–9.2	×10/L
Red blood cell	3.03	2.51	3.7–4.9	×10/L
Hemoglobin	98	81	115–155	g/L
Hematocrit	0.301	0.245	0.351–0.444
Platelet	195	142	100–400	×10/L
AST	659	1211	12–33	U/L
ALT	429	858	6–30	U/L
LDH	813	1106	119–229	U/L
T-Bilirubin	–	15.4	6.8–25.6	μmol/L
BUN	8.8	15.6	2.86–7.14	mmol/L
Creatinine	83.1	106.1	35.4–61.9	μmol/L
PT-INR	–	1.03	0.90–1.10
APTT ratio	–	1.13	0.91–1.45
Na	144	141	138–146	mmol/L
K	4.6	4.5	3.6–4.9	mmol/L
Cl	103	104	99–109	mmol/L
CRP	23.1	95.1	0–3	mg/L
AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; BUN – blood urea nitrogen; PT-INR – prothrombin time-international normalized ratio; APTT – activated partial thromboplastin time; CRP – C-reactive protein.

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