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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Incisional hernia as an unusual cause of hepatic encephalopathy in a 62-year-old man with cirrhosis: a case repor | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Incisional hernia as an unusual cause of hepatic encephalopathy in a 62-year-old man with cirrhosis a case report Muge Ustaoglu1 Tulay Bakir1 Ahmet Bektas1 Osman Cure2 and Bulent Gungor3 Addresses Department of Gastroenterology Ondokuz Mayis University Faculty of Medicine 55139 Samsun Turkey 2Department of Internal Medicine Ondokuz Mayis University Faculty of Medicine 55139 Samsun Turkey 3Department of General Surgery Ondokuz Mayis University Faculty of Medicine 55139 Samsun Turkey Email MU - ustaoglu.md@gmail.com TB - tbakir@omu.edu.tr AB - abektas@omu.edu.tr OC - osmandr55@yahoo.com BG - bgungor@omu.edu.tr Corresponding author Received 4 March 2008 Accepted 4 February 2009 Published 17 September 2009 Journal of Medical Case Reports 2009 3 7315 doi I0.4076 I752-I947-3-73I5 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 7315 2009 Ustaoglu et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Hepatic encephalopathy may be initiated by many factors such as gastrointestinal bleeding infections fluid and electrolyte disturbances. Hypokalemia is one of the most commonly encountered electrolyte abnormalities causing hepatic encephalopathy in patients with cirrhosis. Case presentation We present the case of a 62-year-old Caucasian man with decompensated liver cirrhosis having multiple episodes of hepatic encephalopathy precipitated by vomiting. He had an incisional hernia at the right lumbar region. A barium contrast study of the small intestine and magnetic resonance imaging showed that the hernial sac included gastric antrum and bowel. We observed that hepatic encephalopathy coincided with hypokalemia as
