Spontaneous liver haemorrhage due to thrombolysis is an extremely rare and life-threatening condition. This is the only report of spontaneous liver haemorrhage following thrombolysis in the literature that has been managed non-operatively, and proves such an approach is possible. The clinical findings and management of this case are discussed in relation to the relevant...
(Vol 10 p 38-41, Cardiology; General Surgery; Hepatology: 22 July 2010)
Thrombotic thrombocytopenic purpura/hemolytic uremic syndrome (TTP/HUS) is a rare but known complication of chronic viral hepatitis C (HCV). Even less frequently treatment of HCV with interferon-alpha (INF╬▒) may become complicated with TTP/HUS, although only a few such reports have been published. We report a 43-year-old woman who developed TTP on two separate occasions...
(Vol 10 p 1-7, Gastroenterology; Hepatology: 16 February 2010)
Two patients with biliary peritonitis without demonstrable perforation are described. Despite biliary peritonitis almost invariably following biliary tract perforation, none could be identified with contemporary imaging. This condition is extremely rare, difficult to diagnose pre-operatively and has high mortality.
(Vol 4 p 13-15, General Surgery; Hepatology; Gastroenterology: August 2004)


Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK


Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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