Divyashree Rangari, Madhuri Shambharkar, Achita Sawarkar*, Pratibha Wankhade and Jaya Khandar
Introduction: In patients with cirrhosis and ascites, the hepatorenal syndrome (HRS) is defined as a possibly irreversible kidney failure. HRS is a kind of progressive kidney failure found in persons with severe liver impairment, which is most commonly caused by cirrhosis. Toxins begin to build up in the body when the kidneys quit working. This eventually leads to liver failure. HRS is caused by a renal vasoconstriction, which is cause for concern because HRS has a significant death rate if left untreated. In contrast to type 2 HRS, which is associated with a median survival time of two to four weeks in patients with untreated type 1 HRS, with 95 percent of such patients dying within the first 30 days of onset, type 1 HRS is associated with rapid progression to renal failure over as little as two weeks. The median survival time for patients with type 2HRS is 6 months. In 2005, the International Ascites Club (IAS) published a revised set of criteria to aid in the diagnosis of HRS. We offer a unique case of hepatorenal syndrome with a positive result. a distinctive presentation. Clinical finding: Abdominal pain, headache, distention of abdomen, nausea, vomiting, loose stool, cough, cold, loss of consciousness and chronic alcoholism since in 20 yr last intake backache, fever. Diagnostic evaluation-: HB= 7.5 protein 5.69, bilirubin 3.16 Renal panel –Urea -79 liver size :11cm, evidence for coarsened echotexture of liver parenchyma with irregular Gross asoncites, feature suggestive of cirrhosis of liver. Therapeutic Intervention: Antibiotic drug, Antidiuretic therapy, anticoagulant therapy. Conclusion: My patient aged 41 yr male was admitted to MICU. AVBRH on 25/06/21 for the and patient was diagnosed with hepatorenal syndrome case he had complaint of abdominal pain distention of abdomen the patient advised for follow up care once month.
